Bcbs 1111 Fulton | |
1111 Fulton St Grand Haven MI 49417-1569 | |
(616) 842-5350 | |
(616) 842-0886 |
Full Name | Bcbs 1111 Fulton |
---|---|
Speciality | Community/behavioral Health |
Location | 1111 Fulton St, Grand Haven, Michigan |
Authorized Official Name and Position | Gerard Cyranowski (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6163935649 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bcbs 1111 Fulton 12265 James St Holland MI 49424-8613 Ph: (616) 393-5641 | Bcbs 1111 Fulton 1111 Fulton St Grand Haven MI 49417-1569 Ph: (616) 842-5350 |
NPI Number | 1346329570 |
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Provider Enumeration Date | 11/06/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346329570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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