| Oakridge School District Sbhc | |
|
251 S Wolf Lake Rd Muskegon MI 49442-3029 | |
| (231) 788-7461 | |
| Not Available |
| Full Name | Oakridge School District Sbhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 251 S Wolf Lake Rd, Muskegon, Michigan |
| Authorized Official Name and Position | Wayne Kohn (CMO) |
| Authorized Official Contact | 2317371335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakridge School District Sbhc 2700 Baker St Muskegon MI 49444-2157 Ph: (231) 737-1335 | Oakridge School District Sbhc 251 S Wolf Lake Rd Muskegon MI 49442-3029 Ph: (231) 788-7461 |
| NPI Number | 1699154500 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 11/24/2015 |
| Medicare PECOS PAC ID | 8123015492 |
|---|---|
| Medicare Enrollment ID | O20150617001352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699154500 | NPI | - | NPPES |
| 1699154500 | Other | MI | NPI |
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