| Rural Hub Psychiatry Services Management Company Llc | |
|
104 W Exchange St Owosso MI 48867-2816 | |
| (989) 675-7910 | |
| (989) 256-0767 |
| Full Name | Rural Hub Psychiatry Services Management Company Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 W Exchange St, Owosso, Michigan |
| Authorized Official Name and Position | Jenna Rennells (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9896757910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Hub Psychiatry Services Management Company Llc 8078 Hollister Rd Laingsburg MI 48848-9230 Ph: (989) 675-7910 | Rural Hub Psychiatry Services Management Company Llc 104 W Exchange St Owosso MI 48867-2816 Ph: (989) 675-7910 |
| NPI Number | 1023868338 |
|---|---|
| Provider Enumeration Date | 03/27/2024 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Medicare PECOS PAC ID | 1254772742 |
|---|---|
| Medicare Enrollment ID | O20240515001924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023868338 | NPI | - | NPPES |
| Provider Name | Jenna Rennells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740661503 PECOS PAC ID: 4082929690 Enrollment ID: I20181008003132 |
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