| Chiricahua Community Health Centers, Inc-bisbee Clinic | |
|
108 Arizona St Bisbee AZ 85603-1804 | |
| (520) 432-3309 | |
| (520) 364-4261 |
| Full Name | Chiricahua Community Health Centers, Inc-bisbee Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 108 Arizona St, Bisbee, Arizona |
| Authorized Official Name and Position | Jonathan P Melk (CEO) |
| Authorized Official Contact | 5203641429 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chiricahua Community Health Centers, Inc-bisbee Clinic 1205 F Avenue Douglas AZ 85607 Ph: (520) 364-1429 | Chiricahua Community Health Centers, Inc-bisbee Clinic 108 Arizona St Bisbee AZ 85603-1804 Ph: (520) 432-3309 |
| NPI Number | 1063540144 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 09/01/2021 |
| Medicare PECOS PAC ID | 5395638878 |
|---|---|
| Medicare Enrollment ID | O20171206001975 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063540144 | NPI | - | NPPES |
| 945154 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OTC3370 (Arizona) | Primary |
Bisbee Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Cole Ave, Bisbee, AZ 85603 Phone: 520-432-1724 | |
Copper Queen Medical Associates Bisbee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Bisbee Rd, Bisbee, AZ 85603 Phone: 520-432-2042 | |
Chiricahua Community Health Centers, Inc - Bisbee Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 Arizona St, Bisbee, AZ 85603 Phone: 520-432-3309 |