COMMUNITY HEALTHCARE OF DOUGLAS INC NPI 1033319512

NPI Information

COMMUNITY HEALTHCARE OF DOUGLAS INC is a critical access hospital clinic center in Douglas, AZ. The provider is an outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. COMMUNITY HEALTHCARE OF DOUGLAS INC NPI is 1033319512. The provider is registered as an organization entity type.
The provider Is Doing Business As Samc Clinic.

The provider's business location address is:

1906 11TH STREET
DOUGLAS, AZ
ZIP 85607
Phone: (520) 364-1120
Fax: (250) 364-6417

The provider's authorized official is Michael J Carter .
The authorized official title is Chief Executive Officer and has the following contact phone number (520) 364-7931.

The enumeration date for this NPI number is 7/23/2007 and was last updated on 6/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.