NPIMap

Organization Active NPI

Community Health Center of Branch County

  • General Acute Care Hospital
  • Coldwater, MI
National Provider Identifier
1063471639
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
120010 Issued in MI
Legal business name
COMMUNITY HEALTH CENTER OF BRANCH COUNTY
Practice address
274 E Chicago St
Coldwater, MI 49036-2041
Phone
(517) 279-5400
NPI assigned
Mar 21, 2006
Last updated
Dec 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kevin Sharp
Title
VP Rev Cycle
Phone
(567) 585-7576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 120010 MI Primary

Addresses

Primary practice location

274 E Chicago St
Coldwater, MI 49036-2041

Mailing address

274 E Chicago St
Coldwater, MI 49036-2041
Phone (517) 279-5400

Other identifiers 3

IdentifierTypeStateIssuer
00121OtherMIBLUE CROSS BLUE SHIELD
5170362MedicaidMI
1557972MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071214000363 MI Part A Provider - Hospital 9335037514 Practice locations: Coldwater, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063471639. Details of each certification follow.

Hospital certification: CCN 230022

Legal name
COMMUNITY HEALTH CENTER OF BRANCH COUNTY
Doing business as
INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 15, 2016
Beds
110
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
274 E Chicago St
Coldwater, MI 49036-2041
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Insight Hospital and Medical Center ColdwaterCCN 230022 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2151518Insight Hospital and Medical Center Coldwater274 E Chicago Street, Coldwater, MI 49036Provider-performed microscopyJul 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
Community HLTH CNTR19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

370 E Chicago St
Ste 100
Coldwater, MI 49036
Phone (517) 279-5301

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jawad Shah Individual Corporate DirectorChariman on the Board Dec 1, 2024
Baseer Tajuddin Individual Corporate OfficerSecretary Dec 1, 2024
Corporate Director Dec 1, 2024
Firdaus Foundation Organization, Flint, MI Non-profit Operational/Managerial Control Dec 1, 2024
Robin Cole Individual W-2 Managing Employee Dec 1, 2024
Atif Bawahab Individual Corporate OfficerPresident & Chief Executive Officer Dec 1, 2024
Corporate Director Dec 1, 2024
Atiq Nakrawala Individual Corporate OfficerTreasurer Dec 1, 2024
Corporate Director Dec 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 313

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 313

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1063471639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362041",
            "telephone_number": "517-279-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362041",
            "telephone_number": "517-279-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTER OF BRANCH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VP REV CYCLE",
        "authorized_official_telephone_number": "567-585-7576",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "120010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00121",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5170362",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1557972",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

Verify at the official NPI Registry.