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NPI Code Detail

MEDICARE: MH HEALTH CARE SERVICES, PC

MEDICARE: MH HEALTH CARE SERVICES, PC
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
1261QC1800XCorporate Health Clinic/Center

General Provider Information

NPI Number : 1063110542
Entity Type Code : Organization
Provider Name (Legal Business Name) : MH HEALTH CARE SERVICES, PC
Provider Business Mailing Address
First Line : 20 WINOOSKI FALLS WAY STE 400
Second Line :
City : WINOOSKI
State : VT
Zip : 05404-2239
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4430 S ADAMS COUNTY PKWY STE W8303
Second Line :
City : BRIGHTON
State : CO
Zip : 80601-8222
Country : US
Telephone Number : 720-679-8404
Fax Number :
Authorized Official
Title or Position : CORPORATE MEDICAL OFFICER
Name : DR. TERRY LAYMAN
Credential : MD
Telephone Number : 317-727-8698
Provider Enumeration Date : 02/23/2023
Last Update Date : 03/15/2023

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