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Organization

COMMUNITY HOSPITAL

Active
Other names
Bangor Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
TIM J CALHOUN (VP FINANCE/CFO)
(269) 983-8300
Entity
Organization

Contact information

Practice address
400 MEDICAL PARK DR, WATERVLIET, MI 49098-9225
(269) 463-3111
(269) 463-2237
Mailing address
56190 M-43, BANGOR, MI 49013
(269) 427-5304
(269) 463-2237

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/03/2007
Last updated
04/06/2018
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