# COMMUNITY HEALTH CENTER OF BRANCH COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHC Pediatric and Adolescent Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073661484
- **Authorized official:** RANDALL (RANDY) DEGROOT (CEO)
- **Authorized official phone:** (517) 279-5489

## Contact information

- **Practice address:** 358 E CHICAGO ST, COLDWATER, MI 49036-2072
- **Practice address phone:** (517) 279-5252
- **Practice address fax:** (517) 279-5253
- **Mailing address:** 274 E CHICAGO ST, COLDWATER, MI 49036-2041
- **Mailing address phone:** (517) 279-5400
- **Mailing address fax:** (517) 279-5352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 09/07/2012