HEALTHSTAT ONSITE CLINIC/FOUR WINDS CASINO- SECONDARY LOCATION


Address: 68600 Red Arrow Hwy, Hartford, MI 49057-9718
Phone: 2699265259

HEALTHSTAT ONSITE CLINIC/FOUR WINDS CASINO- SECONDARY LOCATION (NPI# 1659787810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659787810
Entity Type Organization
Organization Name HEALTHSTAT ONSITE CLINIC/FOUR WINDS CASINO- SECONDARY LOCATION
Practice Address 68600 Red Arrow Hwy
Hartford
MI 49057-9718
Mailing Address 4651 Charlotte Park Dr
Suite 300
Charlotte
NC 28217-1956
Practice Telephone 2699265259
Enumeration Date 2014-07-09
Last Update Date 2014-07-09
Authorized Official Name WARREN HUTTON (COO)
Authorized Official Telephone 7045296161
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0500X Preventive Medicine
Specialization: Preventive Medicine/Occupational Environmental Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 68600 RED ARROW HWY
City HARTFORD
State MI
Zip Code 49057-9718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285903666 Chs Health Services, Inc General Practice 68600 Red Arrow Hwy, Hartford, MI 49057-9718 2011-12-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679833958 Seth William Griffin Dentist 19 W. South St, Hartford, MI 49057 2012-05-21
1457624074 Sandra Lynn Sharp Social Worker 57150 Cr. 681, Hartford, MI 49057 2012-02-13
1467647412 Amanda Crystal-dawn Ramtahal Social Worker 57418 Cr. 681, Suite C., Hartford, MI 49057 2007-09-12
1447445697 Traci Jo Drake Social Worker 57150 Cr 681, Hartford, MI 49057 2007-09-11
1639364888 Tammy Sue Curtis Social Worker 57418 Cr 681, Suite C, Hartford, MI 49057 2007-09-11
1346340817 Drs. Ed & Sue Liebenthal Plc Dentist 19 W.south St., Hartford, MI 49057 2006-09-25
1093177040 Janette Rose Winters Dental Hygienist 57418 Cr 681, Hartford, MI 49057 2016-03-28
1295097889 Van Buren Community Mental Health Authority Social Worker 57418 County Road 681, Suite C, Hartford, MI 49057 2012-06-11
1629371091 Nora Adessa Fox-wentz Psychologist 57418 Cr. 681, Suite C, Hartford, MI 49057 2010-12-07
1982916045 Van Buren Community Mental Health Authority Counselor 57418 Cr 681, Suite C, Hartford, MI 49057 2010-07-06
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Taxonomy Information

Taxonomy Code 2083P0500X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Preventive Medicine/Occupational Environmental Medicine

Taxonomy Definition

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538766639 Corporate Occupational Health PC Preventive Medicine 3501 Lake Eastbrook Blvd Se Ste 144, Grand Rapids, MI 49546-5939 2020-10-02
1770194375 Healthstat Inc Huhtamaki-michigan Preventive Medicine 5700 W Shaffer Rd, Coleman, MI 48618-9706 2020-08-17
1487265088 Healthstat Inc National Gypsum-national City Preventive Medicine 2375 S National City Rd, National City, MI 48748-9623 2020-08-17
1619494762 Healthstat Onsite Clinic Keihin Capac Preventive Medicine 14898 Koehn Rd, Mussey, MI 48014-4310 2017-08-29
1174944953 Healthstat On-site Clinic/unified Michigan Preventive Medicine 520 S. Coldwater Rd., Weidman, MI 48893 2013-12-23
1598018152 Healthstat- Carson City Hospital Preventive Medicine 46 Elm St., Carson City, MI 48811 2012-10-19
1609129303 Healthstat- Jedco Preventive Medicine 1615 Broadway Ave Nw, Grand Rapids, MI 49504-2026 2012-10-18
1083905541 Rosalind Marie Cohen Preventive Medicine 1106 E Cook Rd, Grand Blanc, MI 48439-8368 2011-05-02
1629307251 Michigan State University Preventive Medicine 346 Olin Health Ctr, East Circle Drive, East Lansing, MI 48824-1037 2009-12-10
1649421108 Reynolds B Brissenden IIi Preventive Medicine 409 Timberlake Dr W, Holland, MI 49424-5338 2008-10-02
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Competitor

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City HARTFORD
Zip Code 49057

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Dataset Information

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.

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