Provider Demographics
NPI:1437573847
Name:CHS HEALTH SERVICES
Entity Type:Organization
Organization Name:CHS HEALTH SERVICES
Other - Org Name:GOOGLE WELLNESS CENTER SHOREBIRD
Other - Org Type:Other Name
Authorized Official - Title/Position:IMPLEMENTATION
Authorized Official - Prefix:
Authorized Official - First Name:NIKKEE
Authorized Official - Middle Name:
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-769-7633
Mailing Address - Street 1:8229 BOONE BLVD
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2623
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1310 SHOREBIRD WAY
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94043-1383
Practice Address - Country:US
Practice Address - Phone:650-253-3313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty