COMMUNITY HOSPITAL (NPI# 1437346574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437346574 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HOSPITAL |
| Other Organization Name | BANGOR MEDICAL CENTER |
| Practice Address |
400 Medical Park Dr Watervliet MI 49098-9225 |
| Mailing Address |
56190 M-43 Bangor MI 49013 |
| Practice Telephone | 2694633111 |
| Practice Fax Number | 2694632237 |
| Mailing Telephone | 2694275304 |
| Mailing Fax Number | 2694632237 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2018-04-06 |
| Authorized Official Name | TIM J CALHOUN (VP FINANCE/CFO) |
| Authorized Official Telephone | 2699838300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bangor Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427333921 | Community Hospital | General Acute Care Hospital | 9880 Rosemont Ave Apt 104, Lonetree, CO 80124-3173 | 2011-10-15 |
| 1285891473 | Community Hospital | Surgery | 450 Medical Park Dr Ste 200, Watervliet, MI 49098-8531 | 2008-05-16 |
| 1669410643 | Community Hospital | Clinic/Center | 2000 Campbell Dr, Torrington, WY 82240-1528 | 2006-06-03 |
| 1447218235 | Community Hospital | General Acute Care Hospital | 805 Friendship Rd, Tallassee, AL 36078-1234 | 2006-05-02 |
| 1083143895 | Community Hospital | Clinic/Center | 2000 Campbell Dr, Torrington, WY 82240-1528 | 2017-06-06 |
| 1164950036 | Community Hospital | General Acute Care Hospital | 625 Albany Ave, Torrington, WY 82240-1530 | 2017-05-23 |
| 1174059786 | Community Hospital | Clinic/Center | 625 Albany Ave, Torrington, WY 82240-1530 | 2017-05-03 |
| 1740665983 | Community Hospital | General Acute Care Hospital | 2000 Campbell Dr, Torrington, WY 82240-1528 | 2015-07-29 |
| 1952578031 | Community Hospital | Clinic/Center | 6633 Red Arrow Hwy, Coloma, MI 49038-8717 | 2008-05-08 |
| 1124298021 | Community Hospital | Rehabilitation Unit | 7040 Red Arrow Hwy, Coloma, MI 49038-8720 | 2008-03-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HOSPITAL | 1301 E H St, Mccook, NE 69001-3482 |
| Vermont Business Registrations | COMMUNITY HOSPITAL ALTERNATIVE FOR RISK TRANSFER-(SEE FILE) | 100 Bank St, Ste 610, Burlington, VT 05401 |
| System for Award Management (SAM) Entities | COMMUNITY HOSPITAL ANDERSON | 1515 N Madison Ave, Anderson, IN 46011-3453 |
| Indiana Business Entities | COMMUNITY HOSPITAL ANDERSON FOUNDATION, INC. | 1515 North Madison Ave, Anderson, IN 46011 |
| North Carolina Corporations | Community Hospital Consulting Inc. | 2626 Glenwood Avenue Suite 550, Raleigh, NC 27608 |
| Oregon Corporations, Companies and Business Names | COMMUNITY HOSPITAL CONSULTING, INC. | 7800 N Dallas Parkway, Ste 200, Plano, TX 75024 |
| Colorado Business Entities | Community Hospital Consulting, Inc. | 7800 N. Dallas Parkway, Suite 200, Plano, TX 75024 |
| Oklahoma Business Registrations | COMMUNITY HOSPITAL CONSULTING, INC. | 5801 Tennyson Parkway, Ste. 550, Plano, TX 75024 |
| System for Award Management (SAM) Entities | COMMUNITY HOSPITAL CORPORATION | 7800 N Dallas Pkwy Ste 200, Plano, TX 75024-0106 |
| Colorado Business Entities | COMMUNITY HOSPITAL FOUNDATION, INC. | 2351 G Road, Grand Junction, CO 81505 |
| Street Address |
400 MEDICAL PARK DR |
| City | WATERVLIET |
| State | MI |
| Zip Code | 49098-9225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730643644 | Denise A Frazee | Speech-Language Pathologist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2019-01-24 |
| 1780153403 | Lisa Sutton | Speech-Language Pathologist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-26 |
| 1871063552 | Steven Vandenbosch | Occupational Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-26 |
| 1861961542 | Rodney Russell | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-25 |
| 1649749490 | Megan Mcquillan | Speech-Language Pathologist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-21 |
| 1366911455 | Cynthia Marie Forrester | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-19 |
| 1518436500 | Renee Marie Hardman | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-19 |
| 1902375082 | Eric Triezenberg | Occupational Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-18 |
| 1982173217 | Michelle Bendewald | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-15 |
| 1386113744 | Karol Paul | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154586451 | Alfonso Generalao Llanto | Family Medicine | 3973 M140, Watervliet, MI 49098 | 2008-07-25 |
| 1568644052 | Lakeland Community Hospital Watervliet | Family Medicine | 400 Medical Park Drive, Watervliet, MI 49098 | 2007-11-27 |
| 1609910744 | Nilda D Orzame Md Pllc | Internal Medicine | 3881 North M-140 Hwy, Watervliet, MI 49098 | 2007-02-19 |
| 1750484556 | Alfonso G Llanto Md PC | General Practice | 3973 M 140, Watervliet, MI 49098 | 2006-09-07 |
| 1285891473 | Community Hospital | Surgery | 450 Medical Park Dr Ste 200, Watervliet, MI 49098-8531 | 2008-05-16 |
| 1962480228 | Lope Alvaran Vitangcol Jr. | Surgery | 450 Medical Park Dr, Suite 100, Watervliet, MI 49098-8531 | 2006-01-06 |
| 1265733356 | Amelia Fajardo Family Medical Clinic PC | General Practice | 450 Medical Park Dr, Suite 100, Watervliet, MI 49098-8531 | 2010-11-05 |
| 1306033329 | Community Hospital | Surgery | 450 Medical Park Dr, Suite 200, Watervliet, MI 49098-8531 | 2007-10-03 |
| 1760418198 | Abbas Syed | Surgery | 450 Medical Park Dr, Suite 200, Watervliet, MI 49098-8531 | 2006-06-25 |
| 1790733293 | Donald F. Brooks | Specialist | 450 Medical Park Dr, Suite # 400, Watervliet, MI 49098-8531 | 2006-05-05 |
| Find all providers in zip 49098 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154586451 | Alfonso Generalao Llanto | Family Medicine | 3973 M140, Watervliet, MI 49098 | 2008-07-25 |
| 1568644052 | Lakeland Community Hospital Watervliet | Family Medicine | 400 Medical Park Drive, Watervliet, MI 49098 | 2007-11-27 |
| 1578572517 | Araceli Cempron Mesiona-brucal | Family Medicine | 8683 Red Arrow Hwy, Watervliet, MI 49098-9761 | 2006-08-07 |
| 1467948109 | Christina Paddon | Family Medicine | 1500 2nd Ave, Watervliet, NY 12189-2800 | 2018-07-05 |
| 1821491283 | Araceli C Mesiona-brucal Md Pllc | Family Medicine | 8683 Red Arrow Hwy, Watervliet, MI 49098-9761 | 2014-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1710592050 | Chippewa County War Memorial Hospital Inc | Family Medicine | 391 E M 134, Cedarville, MI 49719-9451 | 2020-09-14 |
| 1184238966 | Med Clubs | Family Medicine | 2575 Hummingbird Dr, Holt, MI 48842-9430 | 2020-08-31 |
| 1457961054 | Danna Zevy | Family Medicine | 107 S Washington Ave Apt 401, Saginaw, MI 48607-1258 | 2020-08-07 |
| 1194342808 | Zachary Hillman Do Pllc | Family Medicine | 1794 N Lapeer Rd Ste A, Lapeer, MI 48446-7664 | 2020-06-29 |
| 1336765445 | Spectrum Health United | Family Medicine | 7188 Avenue B, Vestaburg, MI 48891-9502 | 2020-06-24 |
| 1477179711 | Spectrum Health United | Family Medicine | 1324 N County Line Rd, Blanchard, MI 49310-9303 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | WATERVLIET |
| Zip Code | 49098 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.