MEDICARE: COMMUNITY HEALTH CENTER OF BRANCH COUNTY

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	207Q00000X	Family Medicine Physician	120010	MI
2	207R00000X	Internal Medicine Physician
3	207RH0003X	Hematology & Oncology Physician
4	207RI0200X	Infectious Disease Physician
5	208D00000X	General Practice Physician	120010	MI

General Provider Information

NPI Number	:	1306076500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HEALTH CENTER OF BRANCH COUNTY

Provider Business Mailing Address
First Line	:	274 E CHICAGO ST
Second Line	:
City	:	COLDWATER
State	:	MI
Zip	:	49036-2041
Country	:	US
Telephone Number	:	517-279-5400
Fax Number	:

Provider Business Practice Location Address
First Line	:	370 E CHICAGO ST
Second Line	:
City	:	COLDWATER
State	:	MI
Zip	:	49036-2062
Country	:	US
Telephone Number	:	517-279-5400
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	CONNIE SUE DOWNS
Credential	:
Telephone Number	:	517-279-5396

Provider Enumeration Date	:	07/22/2009
Last Update Date	:	09/26/2018

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