| Bcbs 12265 James Street | |
|
12265 James St Holland MI 49424-8613 | |
| (616) 393-5641 | |
| (616) 393-5687 |
| Full Name | Bcbs 12265 James Street |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12265 James St, Holland, 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 12265 James Street 12265 James St Holland MI 49424-8613 Ph: (616) 393-5641 | Bcbs 12265 James Street 12265 James St Holland MI 49424-8613 Ph: (616) 393-5641 |
| NPI Number | 1124192976 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124192976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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