| Community Healthcare Of Douglas Clinic | |
|
2174 W Oak Ave Douglas AZ 85607-6003 | |
| (520) 364-7931 | |
| (520) 364-2551 |
| Full Name | Community Healthcare Of Douglas Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 2174 W Oak Ave, Douglas, Arizona |
| Authorized Official Name and Position | Michael J Carter (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5203647931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Healthcare Of Douglas Clinic 2174 W Oak Ave Douglas AZ 85607-6003 Ph: (520) 364-7931 | Community Healthcare Of Douglas Clinic 2174 W Oak Ave Douglas AZ 85607-6003 Ph: (520) 364-7931 |
| NPI Number | 1437272283 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 05/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437272283 | NPI | - | NPPES |
| 033995 | Other | AZ | MEDICARE/OTHER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | H-0015 (Arizona) | Primary |
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