Wyoming Community Health Center | |
2929 Burlingame Ave Sw Wyoming MI 49509-2609 | |
(616) 965-8333 | |
(616) 940-5820 |
Full Name | Wyoming Community Health Center |
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Speciality | Clinic/Center |
Location | 2929 Burlingame Ave Sw, Wyoming, Michigan |
Authorized Official Name and Position | Tasha Blackmon (CEO) |
Authorized Official Contact | 6169658200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wyoming Community Health Center 100 Cherry St Se Grand Rapids MI 49503-4526 Ph: (616) 965-8200 | Wyoming Community Health Center 2929 Burlingame Ave Sw Wyoming MI 49509-2609 Ph: (616) 965-8333 |
NPI Number | 1184974263 |
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Provider Enumeration Date | 09/14/2012 |
Last Update Date | 05/17/2024 |
Certification Date | 05/17/2024 |
Medicare PECOS PAC ID | 6800707647 |
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Medicare Enrollment ID | O20121023000498 |
Identifier | Type | State | Issuer |
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1184974263 | NPI | - | NPPES |
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