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CHIRICAHUA COMMUNITY HEALTH CENTERS INC NPI 1669250627


NPI Information

NPI: 1669250627
Provider Name: CHIRICAHUA COMMUNITY HEALTH CENTERS, INC

Doing Business As: GINGER RYAN CLINIC-DSMES

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 03D1003646

Address:
1100 N F AVE
DOUGLAS, AZ
ZIP 85607
Phone: (520) 364-3285
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CHIRICAHUA COMMUNITY HEALTH CENTERS, INC is a federally qualified health center (fqhc) clinic center in Douglas, AZ. CHIRICAHUA COMMUNITY HEALTH CENTERS, INC NPI is 1669250627. The provider is registered as an organization entity type.
The provider Is Doing Business As Ginger Ryan Clinic-dsmes.

The provider's business location address is:

1100 N F AVE
DOUGLAS, AZ
ZIP 85607-919
Phone: (520) 364-3285

The provider's authorized official is Tamra V Springer .
The authorized official title is Rcm Manager and has the following contact phone number (520) 459-3011.

The CLIA number assigned to this NPI record is 03D1003646 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2023 and was last updated on 4/2/2024.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes
23336C0003XPharmacyCommunity/Retail PharmacyNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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