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CH09287X CHIRICAHUA COMMUNITY HEALTH CENTERS INC (Active)
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Main Details
Name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Subdivision Name
Medical Mobile Clinic- 'Hank'
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027152
340B ID
CH09287X
Grant Number
H80CS00696
Additional Details
Current Program Status
Active
Registration Date
1/13/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/13/2022
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
815 E 15th St
Douglas, AZ 85607-1631
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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