Port Huron Hospital Physician Grp
LBN: Mclaren Port Huron
Port Huron Hospital Physician Grp is an health care organization with primary practice located at 1209 Richardson St , Port Huron MI 48060-3548. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Mclaren Port Huron can be contacted via phone (810) 984-5156, or through Sholtis, Bridget via phone (810) 989-3749.
Contact Information
Primary practice address
1209 Richardson St
Port Huron MI 48060-3548
Phone: (810) 984-5156
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | EB086434 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | AG643729 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LK034456 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | RM088438 | Michigan |
Profile Details
| NPI number | 1467788018 |
|---|---|
| LBN Legal business name | Mclaren Port Huron |
| DBA Doing business as | Port Huron Hospital Physician Grp |
| Authorized official | Sholtis, Bridget |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 2nd, 2009 |
| Last updated | Jul 30th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467788018 | NPPES |
| Michigan | Other | 7509106270 | BCBS |
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