Htc Outpatient Services

NPI 1497058226 - Clinic/Center - 261QR0405X

NPI Details
NPI 1497058226
Enumeration Date 12/16/2010
Last Updated 12/16/2010
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DARIEN L. SMITH LAMARCK DARIEN L. SMITH
Position MEMBER
Phone (269) 926-0015
Fax (269) 926-0123
Practice Location
1022 E MAIN ST
BENTON HARBOR MI, 49022-3036, US
Phone (269) 926-0015
Fax (269) 926-0123
Business Location
1022 E MAIN ST
P.O. BOX 929
BENTON HARBOR MI, 49022-3036, US
Phone (269) 926-0015
Fax (269) 926-0123
Toxanomy
Taxonomy Code 261QR0405X
License State Michigan
License Number 110105
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According to our database, Htc Outpatient Services NPI is 1497058226, taxonomy code is 261QR0405X and license number is 110105, license state is located at Michigan. Htc Outpatient Services physically located at 1022 E Main St, Benton Harbor MI, 49022-3036. NPI Number 1033115704 has the healthcare provider type.

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1497058226 NPI number is provided on an as is basis without warranty of any kind. 1497058226 is maintained by the National Plan & Provider Enumeration System. The contents of Htc Outpatient Services are for informational purposes only.