Healthcare Provider Details

I. General information

NPI: 1013974161
Provider Name (Legal Business Name): C.H. HEALTH SERVICES COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 04/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 E HIGH ST
SPRINGFIELD OH
45505-1410
US

IV. Provider business mailing address

2501 E HIGH ST
SPRINGFIELD OH
45505-1410
US

V. Phone/Fax

Practice location:
  • Phone: 937-328-8700
  • Fax:
Mailing address:
  • Phone: 937-328-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARK S. WIENER
Title or Position: PRESIDENT & CEO
Credential:
Phone: 937-523-5501