Healthcare Provider Details

I. General information

NPI: 1598058117
Provider Name (Legal Business Name): BATTLE CREEK COMMUNITY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2011
Last Update Date: 07/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 WASHINGTON AVE N CENTRAL BUSINESS OFFICE
BATTLE CREEK MI
49037-2929
US

IV. Provider business mailing address

165 WASHINGTON AVE N CENTRAL BUSINESS OFFICE
BATTLE CREEK MI
49037-2929
US

V. Phone/Fax

Practice location:
  • Phone: 269-245-8250
  • Fax: 269-245-8251
Mailing address:
  • Phone: 269-245-8230
  • Fax: 269-245-8251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. AMY BARNES
Title or Position: VP FINANCE
Credential:
Phone: 269-245-8496