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Organization

COVERED BRIDGE HEALTHCARE OF ST. JOSEPH COUNTY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD SHAFFER RN (EXECUTIVE DIRECTOR)
(269) 467-3228
Entity
Organization

Contact information

Practice address
658 E MAIN ST, CENTREVILLE, MI 49032-9699
(269) 467-3228
Mailing address
658 E MAIN ST., CENTREVILLE, MI 49032
(269) 467-3228

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
04/07/2016
Last updated
03/07/2017
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