Provider Information for 1306142914
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
DOWNRIVER COMMUNITY SERVICES INC
Other Names:Doing Business As:DCS PHARMACY - PORT HURONOrganization Subpart: NO
NPI: 1306142914
Last Updated: 2011-03-11
Certification Date:
Certification Date:
Details
Name | Value | ||||||||
---|---|---|---|---|---|---|---|---|---|
NPI | 1306142914 | ||||||||
Enumeration Date | 2011-01-28 | ||||||||
NPI Type | NPI-2 Organization | ||||||||
Status | Active | ||||||||
Authorized Official Information | Name: CYNTHIA ROUSH Title: CEO Phone: 5862708055 | ||||||||
Mailing Address | 1011 MILITARY ST PORT HURON, MI 48060-5416 United States Phone: 810-488-8030 | Fax:810-488-8035 | ||||||||
Primary Practice Address | 1011 MILITARY ST PORT HURON, MI 48060-5416 United States Phone: 586-270-8055 | Fax:810-488-8035 | ||||||||
Secondary Practice Address(es) | |||||||||
Health Information Exchange |
| ||||||||
Other Identifiers |
| ||||||||
Taxonomy |
|