BRANCH HILLSDALE ST JOSEPH COMMUNITY HEALTH AGENCY NPI 1275605594

NPI Information

NPI: 1275605594
Provider Name: BRANCH HILLSDALE ST JOSEPH COMMUNITY HEALTH AGENCY
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 23D2029435

Address:
570 MARSHALL RD
COLDWATER, MI
ZIP 49036
Phone: (517) 279-9561
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BRANCH HILLSDALE ST JOSEPH COMMUNITY HEALTH AGENCY is a public health or welfare in Coldwater, MI. BRANCH HILLSDALE ST JOSEPH COMMUNITY HEALTH AGENCY NPI is 1275605594. The provider is registered as an organization entity type.

The provider's business location address is:

570 MARSHALL RD
COLDWATER, MI
ZIP 49036-262
Phone: (517) 279-9561
Fax: (517) 278-2923

The provider's authorized official is Rebecca Burns .
The authorized official title is Health Officer and has the following contact phone number (571) 279-9561.

The CLIA number assigned to this NPI record is 23D2029435 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 1/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare		2083P0901X	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	4686777	MEDICAID	MICHIGAN
2	01 32101	MEDICAID	MICHIGAN
3	118693	MEDICAID	MASSACHUSETTS
4	680	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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