| Addiction Treatment Services, Inc. | |
|
1010 S Garfield Ave Traverse City MI 49686 | |
| (231) 346-5216 | |
| (231) 943-2590 |
| Full Name | Addiction Treatment Services, Inc. |
|---|---|
| Speciality | Physician Assistant |
| Location | 1010 S Garfield Ave, Traverse City, Michigan |
| Authorized Official Name and Position | Grant David Card (OPERATIONS MANAGER) |
| Authorized Official Contact | 2316206788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Addiction Treatment Services, Inc. 1010 S Garfield Ave Traverse City MI 49686-3465 Ph: (231) 346-5216 | Addiction Treatment Services, Inc. 1010 S Garfield Ave Traverse City MI 49686 Ph: (231) 346-5216 |
| NPI Number | 1629431713 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 07/16/2018 |
| Medicare PECOS PAC ID | 6204181076 |
|---|---|
| Medicare Enrollment ID | O20180619002138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629431713 | NPI | - | NPPES |
| QMP000005341779 | Medicaid | MI | |
| QMP000005341778 | Medicaid | MI |
| Provider Name | Rachel H Plum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447480934 PECOS PAC ID: 3375786288 Enrollment ID: I20130826000035 |
| Provider Name | Shoba S Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730539149 PECOS PAC ID: 0648564229 Enrollment ID: I20160804000531 |
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