# CHS HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Four Winds Casino Resort
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629390950
- **Authorized official:** MR. STUART CLARK (EXECUTIVE VP)
- **Authorized official phone:** (703) 760-0700

## Contact information

- **Practice address:** 11111 WILSON RD, NEW BUFFALO, MI 49117-8888
- **Practice address phone:** (269) 926-5259
- **Practice address fax:** (269) 926-5475
- **Mailing address:** 5500 MARYLAND WAY, STE 400, BRENTWOOD, TN 37027-4948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2010
- **Last updated:** 07/07/2016