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Contact Information

ELIZABETH UPJOHN COMMUNITY HEALING CENTER
1603 REDSTOCK AVE
PORTAGE, MI49024-4143
 Phone: 269-779-9619
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for ELIZABETH UPJOHN COMMUNITY HEALING CENTER

NPI Number 1750828141
LBN Legal business name ELIZABETH UPJOHN COMMUNITY HEALING CENTER
Authorized official ALISON CIESA - (EARLY CHILDHOOD SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/24/2017
Last updated 01/24/2017 - About 9 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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