Organization
COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM J CALHOUN (VP FINANCE/CFO)
(269) 983-8300
Entity
Organization
Contact information
Practice address
450 MEDICAL PARK DR STE 200, WATERVLIET, MI 49098-8531
(269) 463-3111
(269) 463-3581
Mailing address
400 MEDICAL PARK DR, WATERVLIET, MI 49098-9225
(269) 983-8300
(269) 463-3581
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104947784
—
MI
Enumeration date
05/16/2008
Last updated
04/06/2018
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