Chiricahua Community Health Centers, Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Elfrida, Arizona. The current practice location for Chiricahua Community Health Centers, Inc is 10566 N Highway 191, Elfrida, Arizona. For appointments, you can reach them via phone at
(520) 642-2222. The mailing address for Chiricahua Community Health Centers, Inc is 1205 F Avenue, Douglas, Arizona and phone number is (520) 364-6852.
Chiricahua Community Health Centers, Inc is licensed to practice in Arizona (license number OTC0924). The clinic also participates in the medicare program and its
NPI number is 1457489890. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(520) 642-2222.
Primary Care Clinic Profile
| Full Name | Chiricahua Community Health Centers, Inc |
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| Speciality | Clinic/Center |
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| Location | 10566 N Highway 191, Elfrida, Arizona |
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| Authorized Official Name and Position | Jonathan P Melk (CEO) |
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| Authorized Official Contact | 5203646852 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Chiricahua Community Health Centers, Inc
1205 F Avenue
Douglas
AZ 85607
Ph: (520) 364-6852 | Chiricahua Community Health Centers, Inc
10566 N Highway 191
Elfrida
AZ 85610-9021
Ph: (520) 642-2222 |
NPI Details:
| NPI Number | 1457489890 |
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| Provider Enumeration Date | 02/28/2007 |
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| Last Update Date | 09/01/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5395638878 |
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| Medicare Enrollment ID | O20180205001216 |
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Medical Identifiers
Medical identifiers for Chiricahua Community Health Centers, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457489890 | NPI | - | NPPES |
| 941042 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OTC0924 (Arizona) | Primary |
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