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CH09287A 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. Jennifer 'Ginger' Ryan Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003173
340B ID
CH09287A
Grant Number
H80CS00696
Additional Details
Current Program Status
Active
Registration Date
7/1/2002
Participating Start Date
7/1/2002
Participating Approval Date
8/7/2010
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
1100 ''F'' AVE
DOUGLAS, AZ 85607-1919
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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8/23/07 - UPDATED ADDRESS (WAS 1205 F AVENUE)
08/07/2010
April 2025
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