Organization
CHS HEALTH SERVICES, INC
Active
Other names
Four Winds Casino Resort Hartford
Organization subpart
No
Provider details
NPI number
Authorized official
STUART CLARK (EXECUTIVE VP)
(703) 760-0700
Entity
Organization
Contact information
Practice address
68600 RED ARROW HWY, HARTFORD, MI 49057-9718
(269) 637-9519
Mailing address
5500 MARYLAND WAY, STE 400, BRENTWOOD, TN 37027-4948
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/14/2011
Last updated
07/07/2016
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