Organization
CHG-COMPHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE WINEHOLTZ (CEO)
(800) 453-3030
Entity
Organization
Contact information
Practice address
2900 CHARLEVOIX DR SE, GRAND RAPIDS, MI 49546-7085
(800) 453-3030
Mailing address
PO BOX 713100, SALT LK. CITY, UT 84171-3100
(800) 453-3030
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
OC002370L
PA
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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