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CH09287AE CHIRICAHUA COMMUNITY HEALTH CENTERS INC (Approved)
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Main Details
Name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Subdivision Name
Chiricahua Community Health Centers, Inc. Willcox Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039732
340B ID
CH09287AE
Grant Number
H80CS00696
Additional Details
Current Program Status
Approved
Registration Date
4/11/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/24/2025
Last Recertification Date
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
251 W Rex Allen Dr
Willcox, AZ 85643
Billing Address
Chiricahua Community Health Centers, Inc.
1205 F Ave
Douglas, AZ 85607
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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