Provider Demographics
NPI:1043864010
Name:ISABELLA CITIZENS FOR HEALTH, INC.
Entity Type:Organization
Organization Name:ISABELLA CITIZENS FOR HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING/REVENUE CYCLE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-779-5642
Mailing Address - Street 1:2790 HEALTH PKWY
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-9342
Mailing Address - Country:US
Mailing Address - Phone:989-953-5320
Mailing Address - Fax:
Practice Address - Street 1:113 E SAGINAW ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MI
Practice Address - Zip Code:48880-1755
Practice Address - Country:US
Practice Address - Phone:989-953-5320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ISABELLA CITIZENS FOR HEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-29
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty