Provider Demographics
NPI:1720005242
Name:TOTAL HEALTH CENTER INC
Entity Type:Organization
Organization Name:TOTAL HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER VP OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLENNDA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CHAWDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSNH CMT
Authorized Official - Phone:269-968-0888
Mailing Address - Street 1:1018 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-3177
Mailing Address - Country:US
Mailing Address - Phone:269-968-0888
Mailing Address - Fax:269-968-5975
Practice Address - Street 1:1018 NORTH AVE
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017
Practice Address - Country:US
Practice Address - Phone:269-968-0888
Practice Address - Fax:269-968-5975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI650A35703OtherBCBS OF MICHIGAN
MI650A35703OtherBCBS OF MICHIGAN