Holy Family Healthcare
Pediatrics in Hartford, MI. Organization (NPI-2).
NPI number1154744597
StatusActive
Last updated in NPPESJul 19, 2021
Details
- NPI
- 1154744597
- Entity type
- Organization (NPI-2)
- Legal business name
- Holy Family Healthcare
- Organization subpart
- No
- Enumeration date
- Jan 21, 2014
- Certification date
- Jul 19, 2021
- Last updated
- Jul 19, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 5101011443 | MI | Yes |
| 1041C0700X | Social Worker, Clinical | 6801094934 | MI | |
| 176B00000X | Midwife | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 251B00000X | Case Management | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | 6801094934 | MI | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 363AM0700X | Physician Assistant, Medical | 5601002054 | MI |
Practice location
301 N Center StHartford, MI 49057-1199
Phone 269-621-0011
Mailing address
301 N Center StHartford, MI 49057-1199
Phone 269-621-0011
Other practice locations
Authorized official
Don D Bouchard
President
2692799332
Is something wrong?
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