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CH09287AA CHIRICAHUA COMMUNITY HEALTH CENTERS INC (Terminated)
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Main Details
Name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Subdivision Name
CCHCI Mobile Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009283
340B ID
CH09287AA
Grant Number
H80CS00696
Additional Details
Current Program Status
Terminated
Registration Date
7/14/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/24/2023
Last Recertification Date
2/13/2024
Termination Date
Termination Reason
1/1/2025
Business decision by the Covered Entity
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
Chiricahua Community Health Centers, Inc Cochise County PO Box 263 Elfrida, AZ 85610
Elfrida, AZ 85610
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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April 2025
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