| Gt Independence | |
|
215 Broadus St Sturgis MI 49091 | |
| (269) 651-4500 | |
| Not Available |
| Full Name | Gt Independence |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 215 Broadus St, Sturgis, Michigan |
| Authorized Official Name and Position | John Carmichael (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2696514500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gt Independence 215 Broadus St Sturgis MI 49091-1686 Ph: (269) 651-4500 | Gt Independence 215 Broadus St Sturgis MI 49091 Ph: (269) 651-4500 |
| NPI Number | 1710176151 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710176151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
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