Cchci Seabhs Clinic

LBN: Chiricahua Community Health Centers, Inc
Cchci Seabhs Clinic is an health care organization with primary practice located at 4755 Campus Dr , Sierra Vista AZ 85635-2449. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Chiricahua Community Health Centers, Inc can be contacted via phone (520) 459-3011, or through Melk, Jonathan P via phone (520) 364-6852.

Contact Information

Primary practice address
4755 Campus Dr Sierra Vista AZ 85635-2449
Phone: (520) 459-3011
Fax: (520) 364-4261
Website:
Map and Directions
Authorized official contact:
Name: Melk, Jonathan P
Phone: (520) 364-6852

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X OTC8372 Arizona

Profile Details

NPI number 1487175162
LBN Legal business name Chiricahua Community Health Centers, Inc
DBA Doing business as Cchci Seabhs Clinic
Authorized official Melk, Jonathan P
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2017
Last updated Sep 1st, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487175162 NPPES
Arizona MEDICAID 275274

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