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Organization
CHS HEALTH SERVICES
Active
Organization
CHS HEALTH SERVICES
Active
Other names
Four Winds Casino Resort
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART CLARK (EXECUTIVE VP)
(703) 760-0700
Entity
Organization
Contact information
Practice address
11111 WILSON RD, NEW BUFFALO, MI 49117-8888
(269) 926-5259
(269) 926-5475
Mailing address
5500 MARYLAND WAY, STE 400, BRENTWOOD, TN 37027-4948
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/01/2010
Last updated
07/07/2016
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