Mason Grandville Smith

Community Health Worker · Port Huron, MI

Individual Active NPI

NPI number 1689209801

Practice location

3111 Electric Ave
Port Huron, MI 48060-8127
Phone
(810) 966-3566

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NPI record

NPI
1689209801
Entity type
Individual (Type 1)
Enumeration date
March 9, 2020
Last updated
March 9, 2020
Certified
March 9, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community Health Worker Primary 172V00000X — —

About Mason Smith

Mason Grandville Smith is a healthcare provider registered in the NPI registry with the primary taxonomy Community Health Worker (code 172V00000X). The practice location is 3111 Electric Ave, Port Huron, MI 48060-8127. The NPI number 1689209801 was assigned on March 9, 2020 and the record was last updated on March 9, 2020.

Frequently asked questions

What is the NPI number of Mason Grandville Smith?

The NPI number is 1689209801.

What is the phone number of Mason Smith?

The phone number listed for the practice location is (810) 966-3566.

Where is Mason Smith located?

3111 Electric Ave, Port Huron, MI 48060-8127.

What is the taxonomy code for Mason Smith?

The primary taxonomy code is 172V00000X – Community Health Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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