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COMMUNITY HEALTH CENTER OF BRANCH COUNTY NPI 1073661484


NPI Information

NPI: 1073661484
Provider Name: COMMUNITY HEALTH CENTER OF BRANCH COUNTY

Doing Business As: CHC PEDIATRIC AND ADOLESCENT CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 23D0377619

Address:
358 E CHICAGO ST
COLDWATER, MI
ZIP 49036
Phone: (517) 279-5252
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COMMUNITY HEALTH CENTER OF BRANCH COUNTY is a rural health clinic center in Coldwater, MI. COMMUNITY HEALTH CENTER OF BRANCH COUNTY NPI is 1073661484. The provider is registered as an organization entity type.
The provider Is Doing Business As Chc Pediatric And Adolescent Center.

The provider's business location address is:

358 E CHICAGO ST
COLDWATER, MI
ZIP 49036-072
Phone: (517) 279-5252
Fax: (517) 279-5253

The provider's authorized official is Randall (randy) Degroot .
The authorized official title is Ceo and has the following contact phone number (517) 279-5489.

The CLIA number assigned to this NPI record is 23D0377619 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 9/7/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1238615OTHERMEDICARE RHC PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.