Organization · Type 2 NPI

Chiricahua Community Health Centers, Inc

Federally Qualified Health Center (FQHC) · Benson, AZ

NPI number 1821582529 Active

Practice location

335 South Ocotillo Avenue
Benson, AZ 85602

Call (520) 364-1429 Map

Mailing address

1205 F Ave
Douglas, AZ 85607-1920

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	OTC8971 (AZ)

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1821582529
Entity type: Organization (Type 2)
Issued: Jun 18, 2018
Last updated: Sep 1, 2021
Status: Active

Other names

<unavail>
Benson Family Health Center · doing business as
Benson Family Health Center · doing business as

Authorized official

Jonathan P Melk, MD
CEO
(520) 364-1429

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821582529

Chiricahua Community Health Centers, Inc's National Provider Identifier is 1821582529, issued on Jun 18, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Benson, AZ. The record was last updated on Sep 1, 2021.