Organization
CHIRICAHUA COMMUNITY HEALTH CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN P MELK M.D. (CEO)
(520) 364-1429
Entity
Organization
Contact information
Practice address
1100 F AVE, DOUGLAS, AZ 85607-1919
(520) 364-3285
(520) 364-3378
Mailing address
1205 F AVE, DOUGLAS, AZ 85607-1920
(520) 364-6852
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
OTC3057
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
945132
—
AZ
Enumeration date
07/11/2006
Last updated
09/01/2021
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