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Organization

CHIRICAHUA COMMUNITY HEALTH CENTERS, INC

Active
Other names
Benson Family Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN P MELK M.D. (CEO)
(520) 364-1429
Entity
Organization

Contact information

Practice address
335 SOUTH OCOTILLO AVENUE, BENSON, AZ 85602
(520) 364-1429
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
OTC8971
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
396154
AZ
Enumeration date
06/18/2018
Last updated
09/01/2021
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