Organization Name: | WEST SHORE HEALTH CENTERS CORPORATION |
NPI Number: | 1063625192 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONN LEMMER (VICE PRESIDENT FINANCE) |
Mailing Address: | 8288 Portage St Onekama |
State: | MI US |
Postal Code: | 49675 |
Phone Number: | 2318894283 |
Fax Number: | 2318894484 |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 10/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |