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COMMUNITY HEALTH CENTER OF BRANCH COUNTY NPI 1467889386


NPI Information

NPI: 1467889386
Provider Name: COMMUNITY HEALTH CENTER OF BRANCH COUNTY

Doing Business As: CHC VIKING CONNECT

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 23D2067251

Address:
450 E GRANT ST
BRONSON, MI
ZIP 49028
Phone: (517) 279-5296
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COMMUNITY HEALTH CENTER OF BRANCH COUNTY is an adolescent medicine pediatrics in Bronson, MI. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. COMMUNITY HEALTH CENTER OF BRANCH COUNTY NPI is 1467889386. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Chc Viking Connect.

The provider's business location address is:

450 E GRANT ST
BRONSON, MI
ZIP 49028-524
Phone: (517) 279-5296

The provider's authorized official is Randall Degroot .
The authorized official title is President/ceo and has the following contact phone number (517) 279-5489.

The CLIA number assigned to this NPI record is 23D2067251 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2013 and was last updated on 10/9/2013.


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
12080A0000XPediatricsAdolescent MedicineYes

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

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