Organization
COMMUNITY HEALTH CENTER OF BRANCH COUNTY
Active
Other names
CHC Pediatric and Adolescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL (RANDY) DEGROOT (CEO)
(517) 279-5489
Entity
Organization
Contact information
Practice address
358 E CHICAGO ST, COLDWATER, MI 49036-2072
(517) 279-5252
(517) 279-5253
Mailing address
274 E CHICAGO ST, COLDWATER, MI 49036-2041
(517) 279-5400
(517) 279-5352
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238615
MEDICARE RHC PROVIDER NUMBER
—
Enumeration date
01/08/2007
Last updated
09/07/2012
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