Holy Family Healthcare

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

HOLY FAMILY HEALTHCARE

Practice address

2 E Main St
Hartford, MI 49057-1120

Phone

(269) 621-0011

Fax

(269) 308-3336

NPI assigned

Sep 21, 2016

Organization subpart

No

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

Authorized official

Name

Donnie Bouchard

Title

President

Phone

(269) 621-0011

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1841748688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E MAIN ST",
            "city": "HARTFORD",
            "state": "MI",
            "postal_code": "490571120",
            "telephone_number": "269-621-0011",
            "fax_number": "269-308-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E MAIN ST",
            "city": "HARTFORD",
            "state": "MI",
            "postal_code": "490571120",
            "telephone_number": "269-621-0011",
            "fax_number": "269-308-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "BOUCHARD",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-621-0011"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Hall
• Andrew Bruce Hamilton, D.D.S.
• Elizabeth Sally Hodge, LPN
• Holy Family Dental Clinics
• Holy Family Healthcare
• Douglas Scott Johansen, DDS
• Lisa Johnson, RDH
• Peter John Koshar Jr., LMSW
• Steven Jay Koster, COUNSELRO EDUC LTD
• Taylor Kucharski

• Rural Health Clinic/Center in Hartford, MI
• Providers in Hartford, MI by specialty
• Rural Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.