Provider Demographics
NPI:1457452500
Name:CHRISTIAN HEALTH SERVICES
Entity Type:Organization
Organization Name:CHRISTIAN HEALTH SERVICES
Other - Org Name:CHRISTIAN DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-263-6121
Mailing Address - Street 1:PO BOX 88
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-0088
Mailing Address - Country:US
Mailing Address - Phone:517-266-6472
Mailing Address - Fax:517-266-0294
Practice Address - Street 1:107 S BROAD ST
Practice Address - Street 2:SUITE 1
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-2752
Practice Address - Country:US
Practice Address - Phone:517-266-6472
Practice Address - Fax:517-266-0294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4961460Medicaid
MI5779120001Medicare NSC