EARLY CHILDHOOD CENTER OF EXCELLANCE – NPI #1811472665
Clinic/Center

EARLY CHILDHOOD CENTER OF EXCELLANCE is an AHC clinic located in DOUGLAS, AZ. NPPES has assigned the NPI number 1811472665 to EARLY CHILDHOOD CENTER OF EXCELLANCE on September 27, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EARLY CHILDHOOD CENTER OF EXCELLANCE” is a dba name, the actual legal business name for this organization is CHIRICAHUA COMMUNITY HEALTH CENTERS, INC. 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 EARLY CHILDHOOD CENTER OF EXCELLANCE below.

NPI Profile for
CHIRICAHUA COMMUNITY HEALTH CENTERS, INC

NPI Number
1811472665
Enumeration Date

(more than 7 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
Doing Business As (dba): EARLY CHILDHOOD CENTER OF EXCELLANCE
Primary location
1151 16TH STREET
DOUGLAS, AZ 85607
Phone: (520) 364-5437 Fax:
Mailing address
1205 N F AVE
DOUGLAS, AZ 85607-1920
Phone: (520) 364-6852 Fax: (520) 364-4261
Organization Subpart
No
Authorized Official
JONATHAN MELK
CEO
Phone: (520) 364-1429
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 EARLY CHILDHOOD CENTER OF EXCELLANCE

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
MEDICAIDAZ435308
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)

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.