Provider Demographics
NPI:1740582386
Name:CLAY HEALTH SERVICES, P.C.
Entity Type:Organization
Organization Name:CLAY HEALTH SERVICES, P.C.
Other - Org Name:STANTON FAMILY CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:CLAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:989-831-5218
Mailing Address - Street 1:806 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48888-9708
Mailing Address - Country:US
Mailing Address - Phone:989-831-5218
Mailing Address - Fax:
Practice Address - Street 1:806 N STATE ST
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:MI
Practice Address - Zip Code:48888-9708
Practice Address - Country:US
Practice Address - Phone:989-831-5218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-02
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty