Early Childhood Center Of Excellance

LBN: Chiricahua Community Health Centers, Inc
Early Childhood Center Of Excellance is an health care organization with primary practice located at 1151 16Th Street , Douglas AZ 85607. 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) 364-5437, or through Melk, Jonathan P via phone (520) 364-1429.

Contact Information

Primary practice address
1151 16Th Street Douglas AZ 85607
Phone: (520) 364-5437
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Melk, Jonathan P Doctor of Medicine (MD)
Phone: (520) 364-1429

Health care specialties

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

Profile Details

NPI number 1811472665
LBN Legal business name Chiricahua Community Health Centers, Inc
DBA Doing business as Early Childhood Center Of Excellance
Authorized official Melk, Jonathan P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2018
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 1811472665 NPPES
Arizona MEDICAID 435308

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