Community Health Center of Branch County

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

120010 Issued in MI

Legal business name

COMMUNITY HEALTH CENTER OF BRANCH COUNTY

Practice address

300 E Chicago St
Coldwater, MI 49036-1688

Phone

(517) 279-5420

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Martin Allen

Title

Director

Phone

(567) 585-1191

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• ProMedica Hospice (Coldwater) Doing business as

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1811933153",
    "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": "300 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361688",
            "telephone_number": "517-279-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTER OF BRANCH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "567-585-1191"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": "120010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP/IBA PROVIDER #",
            "identifier": "7230031",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PROVIDER #",
            "identifier": "08782",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4123831",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Hospice (Coldwater)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Health Center of Branch County
• Community Health Center of Branch County
• Community Health Center of Branch County
• Community Health Center of Branch County
• Community Health Center of Branch County
• Community Health Center of Branch County
• Community Health Center of Branch County
• Community Health Center of Branch County
• Community Health Center of Branch County
• Community Health Center of Branch County

• All providers in Coldwater, MI
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.