Provider Demographics
NPI:1962507608
Name:HEALTH CENTERS INCORPORATED
Entity Type:Organization
Organization Name:HEALTH CENTERS INCORPORATED
Other - Org Name:GOBLES MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:I
Authorized Official - Last Name:ODELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-628-6086
Mailing Address - Street 1:406 N STATE ST
Mailing Address - Street 2:PO BOX 280
Mailing Address - City:GOBLES
Mailing Address - State:MI
Mailing Address - Zip Code:49055-9717
Mailing Address - Country:US
Mailing Address - Phone:269-628-2196
Mailing Address - Fax:269-628-2363
Practice Address - Street 1:406 N STATE ST
Practice Address - Street 2:
Practice Address - City:GOBLES
Practice Address - State:MI
Practice Address - Zip Code:49055-9717
Practice Address - Country:US
Practice Address - Phone:269-628-2196
Practice Address - Fax:269-628-2363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty