Public record

CMS Federally Qualified Health Center All Owners

Associate id: 5395638878 · 50 matching records

Enrollment id
O20170117001934
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
0244754265
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-11
First name - owner
DEMETRY
Last name - owner
SIMONTON
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20170117001934
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
3577937051
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-03-27
First name - owner
ALVARO
Last name - owner
MONTOYA
Title - owner
BOARD TREASURER
Percentage ownership
0
Enrollment id
O20170117001934
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
4284077447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-08-20
First name - owner
BRITT
Last name - owner
HANSON
Title - owner
BOARD PRESIDENT
Percentage ownership
0
Enrollment id
O20170117001934
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
4385647775
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-12-01
First name - owner
JONATHAN
Middle name - owner
P
Last name - owner
MELK
Title - owner
CEO
Enrollment id
O20170117001934
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
4385647775
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2016-12-01
First name - owner
JONATHAN
Middle name - owner
P
Last name - owner
MELK
Title - owner
CEO
Enrollment id
O20170117001934
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
4880901370
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-12-01
First name - owner
GARY
Middle name - owner
M
Last name - owner
MCPHERRAN
Title - owner
DIRECTOR OF FINANCE
Enrollment id
O20170117001934
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
5496006983
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-03-28
First name - owner
GEORGE
Last name - owner
CULLINAN
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20170117001934
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
6002259264
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-10-17
First name - owner
AMY
Last name - owner
HARITATOS
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20170117001934
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
6002260395
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-01-09
First name - owner
TAMRA
Middle name - owner
VENICE
Last name - owner
SPRINGER
Percentage ownership
0
Enrollment id
O20170117001934
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
6002260395
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-01-09
First name - owner
TAMRA
Middle name - owner
VENICE
Last name - owner
SPRINGER
Percentage ownership
0
Enrollment id
O20170117001934
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
6002260395
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-01-09
First name - owner
TAMRA
Middle name - owner
VENICE
Last name - owner
SPRINGER
Percentage ownership
0
Enrollment id
O20170117001934
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
6507148079
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-12-01
First name - owner
CARRIE
Last name - owner
GUSTAVSON
Title - owner
BOARD VICE PRESIDENT
Enrollment id
O20170117001934
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
6709300726
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-12-03
First name - owner
KARL
Last name - owner
GRIFFOR
Title - owner
BOARD SECRETARY
Percentage ownership
0
Enrollment id
O20170117001934
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
7214288711
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-11-28
First name - owner
ALMA
Last name - owner
VILDOSOLA
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20170117001934
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
7517481534
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-11
First name - owner
CALEB
Last name - owner
BLASCHKE
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20170117001934
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
8426572447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-11
First name - owner
LAWERENCE
Last name - owner
SANDERS
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20171129003270
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
0244754265
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-11
First name - owner
DEMETRY
Last name - owner
SIMONTON
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20171129003270
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
3577937051
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-06-25
First name - owner
ALVARO
Last name - owner
MONTOYA
Title - owner
BOARD TREASURER
Percentage ownership
0
Enrollment id
O20171129003270
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
4284077447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-08-20
First name - owner
BRITT
Last name - owner
HANSON
Title - owner
BOARD PRESIDENT
Percentage ownership
0
Enrollment id
O20171129003270
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
4385647775
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-10-20
First name - owner
JONATHAN
Middle name - owner
P
Last name - owner
MELK
Title - owner
CEO
Enrollment id
O20171129003270
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
4385647775
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-10-20
First name - owner
JONATHAN
Middle name - owner
P
Last name - owner
MELK
Title - owner
CEO
Enrollment id
O20171129003270
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
4880901370
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-10-20
First name - owner
GARY
Middle name - owner
M
Last name - owner
MCPHERRAN
Title - owner
DIRECTOR OF FINANCE
Enrollment id
O20171129003270
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
4880901370
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-10-20
First name - owner
GARY
Middle name - owner
M
Last name - owner
MCPHERRAN
Title - owner
DIRECTOR OF FINANCE
Enrollment id
O20171129003270
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
5496006983
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-03-28
First name - owner
GEORGE
Last name - owner
CULLINAN
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20171129003270
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
6002259264
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-10-17
First name - owner
AMY
Last name - owner
HARITATOS
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20171129003270
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
6002260395
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-01-09
First name - owner
TAMRA
Middle name - owner
VENICE
Last name - owner
SPRINGER
Percentage ownership
0
Enrollment id
O20171129003270
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
6002260395
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-01-09
First name - owner
TAMRA
Middle name - owner
VENICE
Last name - owner
SPRINGER
Percentage ownership
0
Enrollment id
O20171129003270
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
6002260395
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-01-09
First name - owner
TAMRA
Middle name - owner
VENICE
Last name - owner
SPRINGER
Percentage ownership
0
Enrollment id
O20171129003270
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
6507148079
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-10-20
First name - owner
CARRIE
Last name - owner
GUSTAVSON
Title - owner
BOARD VICE PRESIDENT
Percentage ownership
0
Enrollment id
O20171129003270
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
6709300726
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-12-03
First name - owner
KARL
Last name - owner
GRIFFOR
Title - owner
BOARD SECRETARY
Percentage ownership
0
Enrollment id
O20171129003270
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
7214288711
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-11-28
First name - owner
ALMA
Last name - owner
VILDOSOLA
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20171129003270
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
7517481534
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-11
First name - owner
CALEB
Last name - owner
BLASCHKE
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20171129003270
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
8426572447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-11
First name - owner
LAWERENCE
Last name - owner
SANDERS
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20171130000699
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
0244754265
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-11
First name - owner
DEMETRY
Last name - owner
SIMONTON
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20171130000699
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
3577937051
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-06-25
First name - owner
ALVARO
Last name - owner
MONTOYA
Title - owner
BOARD TREASURER
Enrollment id
O20171130000699
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
4284077447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-08-20
First name - owner
BRITT
Last name - owner
HANSON
Title - owner
BOARD PRESIDENT
Enrollment id
O20171130000699
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
4385647775
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-10-20
First name - owner
JONATHAN
Middle name - owner
P
Last name - owner
MELK
Title - owner
CEO
Enrollment id
O20171130000699
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
4385647775
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-10-20
First name - owner
JONATHAN
Middle name - owner
P
Last name - owner
MELK
Title - owner
CEO
Enrollment id
O20171130000699
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
4880901370
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-10-20
First name - owner
GARY
Middle name - owner
M
Last name - owner
MCPHERRAN
Title - owner
CFO
Enrollment id
O20171130000699
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
4880901370
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-10-20
First name - owner
GARY
Middle name - owner
M
Last name - owner
MCPHERRAN
Title - owner
CFO
Enrollment id
O20171130000699
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
5496006983
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-03-28
First name - owner
GEORGE
Last name - owner
CULLINAN
Title - owner
BOARD MEMBER
Enrollment id
O20171130000699
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
6002259264
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-10-17
First name - owner
AMY
Last name - owner
HARITATOS
Title - owner
BOARD MEMBER
Enrollment id
O20171130000699
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
6002260395
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-08-03
First name - owner
TAMRA
Middle name - owner
VENICE
Last name - owner
SPRINGER
Title - owner
FINANCIAL REVENUE CYCLE
Percentage ownership
0
Enrollment id
O20171130000699
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
6002260395
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-08-03
First name - owner
TAMRA
Middle name - owner
VENICE
Last name - owner
SPRINGER
Title - owner
FINANCIAL REVENUE CYCLE
Percentage ownership
0
Enrollment id
O20171130000699
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
6002260395
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-03
First name - owner
TAMRA
Middle name - owner
VENICE
Last name - owner
SPRINGER
Title - owner
FINANCIAL REVENUE CYCLE
Percentage ownership
0
Enrollment id
O20171130000699
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
6507148079
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-10-20
First name - owner
CARRIE
Last name - owner
GUSTAVSON
Title - owner
BOARD VICE PRESIDENT
Enrollment id
O20171130000699
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
6709300726
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-12-03
First name - owner
KARL
Last name - owner
GRIFFOR
Title - owner
BOARD SECRETARY
Percentage ownership
0
Enrollment id
O20171130000699
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
7214288711
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-11-28
First name - owner
ALMA
Last name - owner
VILDOSOLA
Title - owner
BOARD MEMBER
Enrollment id
O20171130000699
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
7517481534
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-11
First name - owner
CALEB
Last name - owner
BLASCHKE
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20171130000699
Associate id
5395638878
Organization name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Associate id - owner
8426572447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-11
First name - owner
LAWERENCE
Last name - owner
SANDERS
Title - owner
BOARD MEMBER
Percentage ownership
0

Showing the first 50 matching records.

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list