Healthcare Provider Details

I. General information

NPI: 1952656696
Provider Name (Legal Business Name): HAMILTON COMMUNITY HEALTH NETWORK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2012
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 N SAGINAW ST
FLINT MI
48505-4452
US

IV. Provider business mailing address

225 E 5TH ST SUITE 300
FLINT MI
48502-1641
US

V. Phone/Fax

Practice location:
  • Phone: 810-789-9141
  • Fax: 810-789-9222
Mailing address:
  • Phone: 810-406-4246
  • Fax: 810-424-6029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: CLARENCE PIERCE
Title or Position: CEO
Credential:
Phone: 810-787-4951