Organization Active NPI

MHC Holdings Inc.

  • General Practice Physician
  • New Smyrna Beach, FL
National Provider Identifier
1962844381
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS9438 Issued in FL
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

Updated by the provider on Jan 19, 2023

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.