CHIRICAHUA COMMUNITY HEALTH CENTERS, INC – NPI #1457489890
Clinic/Center

CHIRICAHUA COMMUNITY HEALTH CENTERS, INC is an AHC clinic located in ELFRIDA, AZ. NPPES has assigned the NPI number 1457489890 to CHIRICAHUA COMMUNITY HEALTH CENTERS, INC on February 28, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 5 years ago on Sep 01, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHIRICAHUA COMMUNITY HEALTH CENTERS, INC below.

NPI Profile for
CHIRICAHUA COMMUNITY HEALTH CENTERS, INC

NPI Number
1457489890
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHIRICAHUA COMMUNITY HEALTH CENTERS, INC
Primary location
10566 N HIGHWAY 191
ELFRIDA, AZ 85610-9021
Phone: (520) 642-2222 Fax: (520) 364-4261
Mailing address
1205 F AVENUE
DOUGLAS, AZ 85607
Phone: (520) 364-6852 Fax: (520) 364-4261
Organization Subpart
No
Authorized Official
JONATHAN MELK
CEO
Phone: (520) 364-6852
Updated
Certification Date
Sep 01, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHIRICAHUA COMMUNITY HEALTH CENTERS, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ941042
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
AZ OTC0924

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.