Provider Demographics
NPI:1780983783
Name:INTERNATIONAL HEALTH CENTRE THE HAGUE
Entity type:Organization
Organization Name:INTERNATIONAL HEALTH CENTRE THE HAGUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHUPA
Authorized Official - Middle Name:
Authorized Official - Last Name:COULES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:3170-306-5146
Mailing Address - Street 1:PRINS WILLEMSTRAAT 41
Mailing Address - Street 2:
Mailing Address - City:THE HAGUE
Mailing Address - State:SOUTH HOLLAND
Mailing Address - Zip Code:2584HT
Mailing Address - Country:NL
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PRINS WILLEMSTRAAT 41
Practice Address - Street 2:
Practice Address - City:THE HAGUE
Practice Address - State:SOUTH HOLLAND
Practice Address - Zip Code:2584HT
Practice Address - Country:NL
Practice Address - Phone:3170-306-5146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care