Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prime Healthcare Services-Port Huron LLC

Organization Radiation Oncology Physician · NPI 1902407844

Prime Healthcare Services-Port Huron LLC is a Radiation Oncology Physician in Port Huron, Michigan. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2601 Electric Ave
Port Huron, MI 48060-6587
Phone: (810) 216-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X

Record details

NPI number1902407844
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPrime Healthcare Services-Port Huron LLC
Authorized official Christopher Fulks — Cfo · (810) 216-1361
Other names Lake Huron Medical Center
NPI enumeratedNovember 6, 2020
Last updated in NPPESFebruary 2, 2021
Certification dateFebruary 2, 2021
Mailing address2601 Electric Ave, Port Huron, MI 48060-6587

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