Chiricahua Community Health Centers, INC.

Clinic/Center, Federally Qualified Health Center (FQHC) in Sierra Vista, AZ. Organization (NPI-2).

NPI number1629499397

StatusActive

Last updated in NPPESSep 1, 2021

Details

NPI: 1629499397
Entity type: Organization (NPI-2)
Legal business name: Chiricahua Community Health Centers, INC.
Organization subpart: No
Enumeration date: Dec 26, 2013
Certification date: Sep 1, 2021
Last updated: Sep 1, 2021

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QF0400X	Clinic/Center, Federally Qualified Health Center (FQHC)	–	–	Yes

Practice location

115 Calle Portal
Sierra Vista, AZ 85635-2232

Phone 520-459-3011 · Fax 520-364-4261

Mailing address

1205 N F Ave
Douglas, AZ 85607-1920

Phone 520-364-6852 · Fax 520-364-4261

Authorized official

Jonathan P Melk
Ceo
5203646852

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Federally Qualified Health Center (FQHC) providers in Sierra Vista, AZ

All 7 Federally Qualified Health Center (FQHC) providers in Sierra Vista · All 1,175 providers in Sierra Vista

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