COLDWATER INTEGRATED MEDICINE NPI 1295148336

NPI Information

NPI: 1295148336
Provider Name: COLDWATER INTEGRATED MEDICINE

Former Legal Business Name: COLDWATER PRIVATE MEDICINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
892 E CHICAGO ST
SUITE A
COLDWATER, MI
ZIP 49036
Phone: (517) 278-2519
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COLDWATER INTEGRATED MEDICINE is a primary care clinic center in Coldwater, MI. COLDWATER INTEGRATED MEDICINE NPI is 1295148336. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Coldwater Private Medicine.

The provider's business location address is:

892 E CHICAGO ST
SUITE A
COLDWATER, MI
ZIP 49036-063
Phone: (517) 278-2519

The provider's authorized official is Jeffrey Scott Russell .
The authorized official title is Principal Officer and has the following contact phone number (517) 278-2519.

The enumeration date for this NPI number is 6/6/2014 and was last updated on 6/17/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	5101011799	MICHIGAN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5101011799	OTHER	MICHIGAN	LICENSE

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: 4/28/2024

NPI Synchronization or Removal

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