Organization · Type 2 NPI
Chiricahua Community Health Centers, Inc
Federally Qualified Health Center (FQHC) · Douglas, AZ
NPI number
1174820898
Active
Practice location
815 15th Street
Douglas, AZ 85607
Fax (520) 364-4261
Mailing address
1205 F. Avenue
Douglas, AZ 85607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | OTC5111 (AZ) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1174820898
Chiricahua Community Health Centers, Inc's National Provider Identifier is 1174820898, issued on Feb 15, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Douglas, AZ. The record was last updated on Sep 1, 2021.