Active NPI
MHC Holdings Inc.
- General Practice Physician
- New Smyrna Beach, FL
National Provider Identifier
1962844381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- OS9438
- Legal business name
- MHC HOLDINGS INC.
- Practice address
- 902 N Dixie Fwy
New Smyrna Beach, FL 32168-6220 - Phone
- (386) 663-3003
- Fax
- (386) 663-3007
- NPI assigned
- Jul 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theresa L Watry, RN, MHA
- Title
- President
- Phone
- (386) 663-3003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | OS9438 | FL | Primary |
Addresses
Primary practice location
902 N Dixie Fwy
New Smyrna Beach, FL 32168-6220
Mailing address
902 N Dixie Fwy
New Smyrna Beach, FL 32168-6220
Phone (386) 663-3003
Other names 1
- Medical Health Centers
National Provider Directory
National Provider DirectoryLocations
902 N Dixie Fwy
New Smyrna Beach, FL 32168
Phone (386) 663-3003
912 N Dixie Fwy
New Smyrna Beach, FL 32168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674086400000",
"number": "1962844381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 N DIXIE FWY",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321686220",
"telephone_number": "386-663-3003",
"fax_number": "386-663-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 N DIXIE FWY",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321686220",
"telephone_number": "386-663-3003",
"fax_number": "386-663-3007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MHC HOLDINGS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-26",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A",
"authorized_official_last_name": "WATRY",
"authorized_official_first_name": "THERESA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "386-663-3003",
"authorized_official_credential": "RN, MHA"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "FL",
"license": "OS9438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Health Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Smyrna Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.