EARLY CHILDHOOD CENTER OF EXCELLANCE
NPI 1811472665
Clinic/Center - Federally Qualified Health Center (FQHC) in Douglas, AZ

Active since September 27, 2018CLIA 03D2150404 · Waiver
1151 16TH STREET, DOUGLAS, AZ 85607(520) 364-5437 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2018, Sep 27, 2018 (2 updates tracked since 2018).

About Early Childhood Center Of Excellance NPPES

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

EARLY CHILDHOOD CENTER OF EXCELLANCE (NPI 1811472665) is a healthcare organization registered as a federally qualified health center (fqhc) in Douglas, Arizona and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through June 24, 2028 and lists Jonathan P Melk, Ceo, as its authorized official.

NPPES Registry Identity

NPI1811472665
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCHIRICAHUA COMMUNITY HEALTH CENTERS, INC
Location Address1151 16TH STREETDouglas, AZ 85607
Mailing Address1205 N F AveDouglas, AZ 85607-1920 · (520) 364-6852 · Fax (520) 364-4261
Organization SubpartNo
Authorized OfficialJonathan P MelkCeo · (520) 364-1429
Enumeration DateSeptember 27, 2018
Last NPPES UpdateSeptember 1, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2021
✔ NPI 1811472665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1151 16TH STREET, Douglas, AZ 85607

Other Names 1

Doing Business AsEarly Childhood Center Of Excellance

Other Identifiers 1

Medicaid435308AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Early Childhood Center Of Excellance is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

64

Medicare enrollment records show 64 clinicians reassign Medicare billing to Early Childhood Center Of Excellance, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Nurse Practitioner25
Pediatric Medicine12
Mental Health Counselor7
Family Practice5
Clinical Social Worker4
Registered Dietitian or Nutrition Professional4
Chiropractic2
Clinical Psychologist2
3 other specialties3

Nearest to this location (20)

See all 64
Pediatric Medicine
NPI 1144560160
815 E 15TH ST
Douglas, AZ 85607
(520) 364-5437
✔ PECOS0.3 mi
Pediatric Medicine
NPI 1144289760
815 E 15TH ST
Douglas, AZ 85607
(520) 364-5437
✔ PECOS0.3 mi
Pediatric Medicine
NPI 1700230109
815 E 15TH ST
Douglas, AZ 85607
(520) 364-5437
✔ PECOS0.3 mi
Pediatric Medicine
NPI 1235556168
815 E 15TH ST
Douglas, AZ 85607
(520) 364-5437
✔ PECOS0.3 mi
Pediatric Medicine
NPI 1578523338
815 E 15TH ST
Douglas, AZ 85607
(520) 364-5437
✔ PECOS✔ Accepts Medicare0.3 mi
Pediatric Medicine
NPI 1568496164
815 E 15TH STREET
Douglas, AZ 85607
(520) 364-5437
✔ PECOS0.3 mi
Pediatric Medicine
NPI 1710388954
815 E 15TH ST
Douglas, AZ 85607
(520) 364-5437
✔ PECOS0.3 mi
Nurse Practitioner
NPI 1760784342
815 E 15TH ST CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Douglas, AZ 85607
(520) 364-5437
✔ PECOS0.3 mi
Pediatric Medicine
NPI 1710922018
815 E 15TH ST
Douglas, AZ 85607
(520) 364-5437
✔ PECOS0.3 mi
Nurse Practitioner
NPI 1992473748
1100 N F AVE
Douglas, AZ 85607
(520) 364-3285
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1427600782
1100 N F AVE
Douglas, AZ 85607
(520) 364-3285
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1073231742
1100 N F AVE
Douglas, AZ 85607
(520) 364-3285
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1215241518
1100 F AVE
Douglas, AZ 85607
(520) 364-3285
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1841946183
1100 N F AVE
Douglas, AZ 85607
(520) 364-3285
✔ PECOS✔ Accepts Medicare15 mi
Registered Dietitian or Nutrition Professional
NPI 1174072326
1100 F AVE
Douglas, AZ 85607
(520) 364-3285
15 mi
Pediatric Medicine
NPI 1689744591
108 ARIZONA ST
Bisbee, AZ 85603
(520) 432-3309
✔ PECOS20 mi
Nurse Practitioner
NPI 1679825152
108 ARIZONA ST
Bisbee, AZ 85603
(520) 432-3309
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1437779238
108 ARIZONA ST
Bisbee, AZ 85603
(520) 432-3309
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1891236220
10566 N HIGHWAY 191
Elfrida, AZ 85610
(520) 642-2222
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1770556730
10566 N HIGHWAY 191
Elfrida, AZ 85610
(520) 642-2222
✔ PECOS25 mi
See all 64 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2150404

Early Childhood Center Of Excellence · Douglas, AZ
Active · expires Jun 24, 2028
CLIA Number03D2150404
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorDarlene Melk
Laboratory Phone(520) 364-1429
Laboratory LocationEarly Childhood Center Of Excellence1151 16th Street, Douglas, AZ 85607
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Chiricahua Community Health Centers, Inc's NPI number?

The NPI number for Chiricahua Community Health Centers, Inc is 1811472665. It was assigned to this organization in the NPPES registry on September 27, 2018. The provider is doing business as Early Childhood Center Of Excellance.

Where is Chiricahua Community Health Centers, Inc located?

Chiricahua Community Health Centers, Inc is located at 1151 16th Street, Douglas, AZ 85607. The listed phone number is (520) 364-5437.

What is Chiricahua Community Health Centers, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Chiricahua Community Health Centers, Inc enrolled in Medicare?

Yes. Chiricahua Community Health Centers, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chiricahua Community Health Centers, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 64 clinicians in 11 Medicare specialties reassign their Medicare billing to Chiricahua Community Health Centers, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (25), Pediatric Medicine (12) and Mental Health Counselor (7). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Chiricahua Community Health Centers, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2150404) is associated with this NPI, valid through June 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Chiricahua Community Health Centers, Inc accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Chiricahua Community Health Centers, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chiricahua Community Health Centers, Inc was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.