| Delta Family Clinic | |
|
1309 S Linden Rd Ste C Flint MI 48532 | |
| (810) 630-1152 | |
| (810) 630-9107 |
| Full Name | Delta Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1309 S Linden Rd Ste C, Flint, Michigan |
| Authorized Official Name and Position | Gerard R Williams (OWNER) |
| Authorized Official Contact | 8106301152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Family Clinic 1309 S. Linden Rd. Suite C Flint MI 48532 Ph: (810) 630-1152 | Delta Family Clinic 1309 S Linden Rd Ste C Flint MI 48532 Ph: (810) 630-1152 |
| NPI Number | 1255509832 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5496880866 |
|---|---|
| Medicare Enrollment ID | O20100324000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255509832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 250262 (Michigan) | Primary |
| Provider Name | Kelly Lynn Gardiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447294970 PECOS PAC ID: 9931090933 Enrollment ID: I20040325000041 |
| Provider Name | Terry Lee Whyte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053319863 PECOS PAC ID: 3678533510 Enrollment ID: I20041014000601 |
| Provider Name | Gerard R Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821158817 PECOS PAC ID: 0547281495 Enrollment ID: I20051207000909 |
| Provider Name | Donna Marion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144277450 PECOS PAC ID: 5395916688 Enrollment ID: I20110916000404 |
| Provider Name | Laurie K Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083848667 PECOS PAC ID: 7214100320 Enrollment ID: I20111107000413 |
| Provider Name | Patricia Bowersox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336489251 PECOS PAC ID: 7214226596 Enrollment ID: I20160511000044 |
| Provider Name | Deanna Fletcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659813319 PECOS PAC ID: 9335218379 Enrollment ID: I20170111002226 |
| Provider Name | Charles T Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467824425 PECOS PAC ID: 5294064432 Enrollment ID: I20190912002407 |
| Provider Name | Julia Cherrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891494175 PECOS PAC ID: 9335514272 Enrollment ID: I20230407000139 |
| Provider Name | Katie N Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962280008 PECOS PAC ID: 0446607204 Enrollment ID: I20231115003731 |
| Provider Name | Erin I Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346090321 PECOS PAC ID: 9133667033 Enrollment ID: I20240809001803 |
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