Organization
COVERED BRIDGE HEALTHCARE OF ST. JOSEPH COUNTY INC
Active
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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