NPIMap

Organization Active NPI

CHS Health Services, Inc

Doing business as Four Winds Casino Resort Hartford

  • General Practice Physician
  • Hartford, MI
National Provider Identifier
1285903666
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CHS HEALTH SERVICES, INC
Doing business as
Four Winds Casino Resort Hartford
Practice address
68600 Red Arrow Hwy
Hartford, MI 49057-9718
Phone
(269) 637-9519
NPI assigned
Dec 14, 2011
Last updated
Jul 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Authorized official

Name
Stuart Clark
Title
Executive VP
Phone
(703) 760-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

68600 Red Arrow Hwy
Hartford, MI 49057-9718

Mailing address

5500 Maryland Way
Ste 400
Brentwood, TN 37027-4948

Other names 1

  • Four Winds Casino Resort Hartford Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Choose Health Wellness Ctr18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

68600 Red Arrow Hwy
Hartford, MI 49057
Phone (269) 637-9519

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1285903666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY",
            "address_2": "STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68600 RED ARROW HWY",
            "city": "HARTFORD",
            "state": "MI",
            "postal_code": "490579718",
            "telephone_number": "269-637-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "703-760-0700"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Winds Casino Resort Hartford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.