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CH09287D CHIRICAHUA COMMUNITY HEALTH CENTERS INC (Active)
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Main Details
Name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Subdivision Name
Chiricahua Community Health Centers, Inc. Bisbee Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005106
340B ID
CH09287D
Grant Number
H80CS00696
Additional Details
Current Program Status
Active
Registration Date
7/1/2003
Participating Start Date
7/1/2003
Participating Approval Date
5/14/2004
Last Recertification Date
3/3/2025
Contacts
Authorizing Official
chiricahua community health centers
Jonathan Melk, CEO
(520) 227-9167
Primary Contact
Chiricahua Community Health Centers
David Andrew Merrell, Pharmacy Director
(480) 202-2497
Addresses
Street Address
108 ARIZONA ST
BISBEE, AZ 85603-1804
Billing Address
chiricahua community health center
1205 f avenue
Douglas, AZ 85607
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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CORRECT ENTITY NAME
05/14/2004
April 2025
April 2025
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