Organization
HOLY FAMILY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DON D BOUCHARD D.O. (PRESIDENT)
(269) 279-9332
Entity
Organization
Contact information
Practice address
301 N CENTER ST, HARTFORD, MI 49057-1199
(269) 621-0011
Mailing address
301 N CENTER ST, HARTFORD, MI 49057-1199
(269) 621-0011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801094934
MI
176B00000X
Midwife
—
—
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
5101011443
MI
251B00000X
Case Management Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
6801094934
MI
261QM1300X
Multi-Specialty Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
5601002054
MI
Other
Enumeration date
01/21/2014
Last updated
07/19/2021
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