Basic Information
| Provider Information | |||||||||
| NPI: | 1518199066 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MH HEALTH CARE SERVICES, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 354 MOUNTAIN VIEW DR | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | COLCHESTER | ||||||||
| State: | VT | ||||||||
| PostalCode: | 054465968 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8028570400 | ||||||||
| FaxNumber: | 8026553607 | ||||||||
| Practice Location | |||||||||
| Address1: | 701 COOL SPRINGS BLVD | ||||||||
| Address2: | C/O HEALTHWAYS WELLBEING CENTER | ||||||||
| City: | FRANKLIN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370672697 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6156145880 | ||||||||
| FaxNumber: | 6146145884 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2009 | ||||||||
| LastUpdateDate: | 09/13/2010 | ||||||||
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| AuthorizedOfficialLastName: | CARLSON | ||||||||
| AuthorizedOfficialFirstName: | NANCY | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8028570400 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332900000X | Y | Suppliers | Non-Pharmacy Dispensing Site |
No ID Information.