MEDICARE: C.H. HEALTH SERVICES COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QC1500X	Community Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952368680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C.H. HEALTH SERVICES COMPANY

Provider Business Mailing Address
First Line	:	1 E PLEASANT ST
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45506-2201
Country	:	US
Telephone Number	:	937-328-5277
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 E PLEASANT ST
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45506-2201
Country	:	US
Telephone Number	:	937-328-5277
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. MARK S. WIENER
Credential	:
Telephone Number	:	937-328-9515

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	06/08/2010

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Directions to “C.H. HEALTH SERVICES COMPANY ” Practice Location

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