Community Healthcare Of Douglas Inc

NPI 1033319512 - Clinic/Center - 261QC0050X

NPI Details
NPI 1033319512
Enumeration Date 07/23/2007
Last Updated 06/18/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL J MICHAEL
Position CHIEF EXECUTIVE OFFICER
Phone (520) 364-1120
Fax (250) 364-6417
Practice Location
1906 11TH STREET
DOUGLAS AZ, 85607, US
Phone (520) 364-1120
Fax (250) 364-6417
Business Location
2174 W OAK AVE
DOUGLAS AZ, 85607-6003, US
Phone (520) 364-7931
Fax (520) 364-2551
Toxanomy
Taxonomy Code 261QC0050X
License State Arizona
License Number H-0015
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According to our database, Community Healthcare Of Douglas Inc NPI is 1033319512, taxonomy code is 261QC0050X and license number is H-0015, license state is located at Arizona. Community Healthcare Of Douglas Inc physically located at 1906 11th Street, Douglas AZ, 85607. NPI Number 1033115704 has the healthcare provider type.

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1033319512 NPI number is provided on an as is basis without warranty of any kind. 1033319512 is maintained by the National Plan & Provider Enumeration System. The contents of Community Healthcare Of Douglas Inc are for informational purposes only.