| Chc Pediatric And Adolescent Center | |
|
358 E Chicago St Coldwater MI 49036-2072 | |
| (517) 279-5252 | |
| (517) 279-5253 |
| Full Name | Chc Pediatric And Adolescent Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 358 E Chicago St, Coldwater, Michigan |
| Authorized Official Name and Position | Randall (randy) Degroot (CEO) |
| Authorized Official Contact | 5172795489 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chc Pediatric And Adolescent Center 274 E Chicago St Coldwater MI 49036-2041 Ph: (517) 279-5400 | Chc Pediatric And Adolescent Center 358 E Chicago St Coldwater MI 49036-2072 Ph: (517) 279-5252 |
| NPI Number | 1073661484 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 09/07/2012 |
| Medicare PECOS PAC ID | 9335037514 |
|---|---|
| Medicare Enrollment ID | O20080214000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073661484 | NPI | - | NPPES |
| 238615 | Other | MEDICARE RHC PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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