| Northeast Health Center | |
|
1024 Fleming Ave Jackson MI 49202-2536 | |
| (517) 787-4361 | |
| (517) 787-4983 |
| Full Name | Northeast Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1024 Fleming Ave, Jackson, Michigan |
| Authorized Official Name and Position | Michelle Mayo (PATIENT ACCOUNTS MANAGER) |
| Authorized Official Contact | 5177485500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Health Center Po Box 548 Jackson MI 49204-0548 Ph: (517) 784-3950 | Northeast Health Center 1024 Fleming Ave Jackson MI 49202-2536 Ph: (517) 787-4361 |
| NPI Number | 1922171479 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 02/10/2022 |
| Certification Date | 02/10/2022 |
| Medicare PECOS PAC ID | 4587574421 |
|---|---|
| Medicare Enrollment ID | O20041217000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922171479 | NPI | - | NPPES |
| 700C810070 | Other | MI | BCBSM GROUP NUMBER |
| 500C807070 | Other | MI | BCBS GROUP NUMBER |
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