Provider Demographics
NPI:1013974161
Name:C.H. HEALTH SERVICES COMPANY
Entity type:Organization
Organization Name:C.H. HEALTH SERVICES COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:S
Authorized Official - Last Name:WIENER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-523-5501
Mailing Address - Street 1:2501 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45505-1410
Mailing Address - Country:US
Mailing Address - Phone:937-328-8700
Mailing Address - Fax:
Practice Address - Street 1:2501 E HIGH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45505-1410
Practice Address - Country:US
Practice Address - Phone:937-328-8700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:C.H. HEALTH SERVICES COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-01
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========-01OtherBWC (WORKERS' COMP)