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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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