| Copper Island Behavioral Health | |
|
810 Quincy St Hancock MI 49930-1903 | |
| (906) 482-9440 | |
| (906) 482-9440 |
| Full Name | Copper Island Behavioral Health |
|---|---|
| Speciality | Social Worker |
| Location | 810 Quincy St, Hancock, Michigan |
| Authorized Official Name and Position | Thomas William Collins (PRESIDENT) |
| Authorized Official Contact | 9064829440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Copper Island Behavioral Health 810 Quincy St Hancock MI 49930-1903 Ph: (906) 482-9440 | Copper Island Behavioral Health 810 Quincy St Hancock MI 49930-1903 Ph: (906) 482-9440 |
| NPI Number | 1629221916 |
|---|---|
| Provider Enumeration Date | 10/30/2008 |
| Last Update Date | 12/12/2008 |
| Medicare PECOS PAC ID | 9335200088 |
|---|---|
| Medicare Enrollment ID | O20081212000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629221916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801062508 (Michigan) | Primary |
| Provider Name | Thomas W Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487639829 PECOS PAC ID: 5698836815 Enrollment ID: I20081205000825 |
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