Prime Healthcare Services-Port Huron, LLC
NPI #1134586852 in Fort Gratiot, Michigan
Provider Information
- NPI Number
- 1134586852
- Entity Type
- Organization
- Organization Name
- Prime Healthcare Services-Port Huron, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PRIME HEALTHCARE SERVICES-PORT HURON, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jan 26, 2016
- Last Updated
- Jan 26, 2016
Practice Location
- Address
- 4190 24TH AVE
- City
- Fort Gratiot
- State
- Michigan
- ZIP Code
- 48059-3882
- Phone
- (810) 989-7700
Authorized Official
- Name
- CHRISTOPHER DOAN
- Title
- CHIEF COMPLIANCE COUNSEL
- Phone
- (909) 235-4307
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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