Organization
HAMILTON COMMUNITY HEALTH NETWORK INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE R. PIERCE MSA (CEO)
(810) 406-4912
Entity
Organization
Contact information
Practice address
4154 W VIENNA RD, CLIO, MI 48420-2809
(810) 687-1008
(810) 687-1951
Mailing address
225 E 5TH ST, SUITE 300, FLINT, MI 48502-1641
(810) 406-4912
(810) 424-6029
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-1940
MEDICARE PART A
MI
Enumeration date
01/08/2009
Last updated
01/08/2021
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