| Bcbs 785 W. Randall | |
|
785 W Randall St Coopersville MI 49404-1307 | |
| (616) 837-8171 | |
| (616) 837-5823 |
| Full Name | Bcbs 785 W. Randall |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 785 W Randall St, Coopersville, 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 785 W. Randall 12265 James St Holland MI 49424-8613 Ph: (616) 393-5641 | Bcbs 785 W. Randall 785 W Randall St Coopersville MI 49404-1307 Ph: (616) 837-8171 |
| NPI Number | 1215016449 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215016449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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