# COMMUNITY HEALTH CENTER OF BRANCH COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHC Obstetrics & Gynecology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801264759
- **Authorized official:** MR. RANDALL DEGROOT (PRESIDENT/CEO)
- **Authorized official phone:** (517) 279-5489

## Contact information

- **Practice address:** 235 E CHICAGO ST, COLDWATER, MI 49036-1783
- **Practice address phone:** (517) 279-5400
- **Mailing address:** 274 E CHICAGO ST, COLDWATER, MI 49036-2041
- **Mailing address phone:** (517) 279-5400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | NULL | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/09/2015
- **Last updated:** 09/09/2015