Organization
COMMUNITY HEALTH CENTER OF BRANCH COUNTY
Active
Other names
ProMedica Home Health (Coldwater)
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL (RANDY) DEGROOT (CEO)
(517) 279-5489
Entity
Organization
Contact information
Practice address
300 E CHICAGO ST, COLDWATER, MI 49036-1688
(517) 279-5420
(517) 279-5429
Mailing address
274 E CHICAGO ST, COLDWATER, MI 49036-2041
(517) 279-5400
(517) 279-5429
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
120010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E152
BCBSM HH PROVIDER #
MI
05
—
3440164
—
MI
01
—
7230031
PHP/IBA HH PROVIDER #
MI
Enumeration date
06/16/2006
Last updated
08/15/2023
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