| Lutheran Child And Family Service Of Michigan | |
|
6019 Westside Saginaw Rd Bay City MI 48706-9357 | |
| (989) 686-7650 | |
| (989) 686-7688 |
| Full Name | Lutheran Child And Family Service Of Michigan |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6019 Westside Saginaw Rd, Bay City, Michigan |
| Authorized Official Name and Position | Janine A Jankowski (ACCOUNTING CLERK) |
| Authorized Official Contact | 9896867650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Child And Family Service Of Michigan 6019 Westside Saginaw Rd P.o. Box 48 Bay City MI 48706-9357 Ph: (989) 686-7650 | Lutheran Child And Family Service Of Michigan 6019 Westside Saginaw Rd Bay City MI 48706-9357 Ph: (989) 686-7650 |
| NPI Number | 1063409480 |
|---|---|
| Provider Enumeration Date | 09/30/2005 |
| Last Update Date | 11/02/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063409480 | NPI | - | NPPES |
| 3270805 | Medicaid | MI | |
| 4422590 | Medicaid | MI | |
| 2931909 | Medicaid | MI | |
| 4611177 | Medicaid | MI | |
| 4587821 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4422590 (Michigan) | Primary |
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