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SAMC CLINIC
NPI 1033319512
Clinic/Center - Critical Access Hospital in Douglas, AZ

Active since July 23, 2007
1906 11TH STREET, DOUGLAS, AZ 85607(520) 364-1120(250) 364-6417 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samc Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMC CLINIC (NPI 1033319512) is a healthcare organization registered as a critical access hospital in Douglas, Arizona and active in the NPI registry since July 2007. The organization lists Michael J Carter, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1033319512
Entity TypeOrganization
Primary Taxonomy261QC0050X
Legal Business NameCOMMUNITY HEALTHCARE OF DOUGLAS INC
Location Address1906 11TH STREETDouglas, AZ 85607
Mailing Address2174 W Oak AveDouglas, AZ 85607-6003 · (520) 364-7931 · Fax (520) 364-2551
Phone(520) 364-1120
Fax(250) 364-6417
Organization SubpartNo
Authorized OfficialMichael J CarterChief Executive Officer · (520) 364-7931
Enumeration DateJuly 23, 2007
Last NPPES UpdateJune 18, 2008
✔ NPI 1033319512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Critical Access HospitalAmbulatory Health Care Facilities
Taxonomy Code261QC0050X
License✔ Licensed in AZ · H-0015
Definition

An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.

1906 11TH STREET, Douglas, AZ 85607
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Other Names 1

Doing Business AsSamc Clinic

Other Identifiers 3

Medicare PINZ116110AZ
Medicare PINZ64950AZ
Medicaid562498AZ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Healthcare Of Douglas Inc's NPI number?

The NPI number for Community Healthcare Of Douglas Inc is 1033319512. It was assigned to this organization in the NPPES registry on July 23, 2007. The provider is doing business as Samc Clinic.

Where is Community Healthcare Of Douglas Inc located?

Community Healthcare Of Douglas Inc is located at 1906 11th Street, Douglas, AZ 85607. The listed phone number is (520) 364-1120.

What is Community Healthcare Of Douglas Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Critical Access Hospital, with taxonomy code 261QC0050X.

When was this NPI record last updated?

The NPPES record for Community Healthcare Of Douglas Inc was last updated on June 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.