Artesian Springs Medical Center | |
100 W Main St Marion MI 49665-9239 | |
(231) 743-0150 | |
(231) 743-0152 |
Full Name | Artesian Springs Medical Center |
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Speciality | Family Medicine |
Location | 100 W Main St, Marion, Michigan |
Authorized Official Name and Position | Tricia Ann Mcgillis (OWNER) |
Authorized Official Contact | 2317430150 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Artesian Springs Medical Center 100 West Main Street Box 578 Marion MI 49665-9942 Ph: (231) 743-0150 | Artesian Springs Medical Center 100 W Main St Marion MI 49665-9239 Ph: (231) 743-0150 |
NPI Number | 1316266869 |
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Provider Enumeration Date | 05/24/2010 |
Last Update Date | 03/03/2015 |
Medicare PECOS PAC ID | 6507052891 |
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Medicare Enrollment ID | O20110308000280 |
Identifier | Type | State | Issuer |
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1316266869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Alan R Grillo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528098498 PECOS PAC ID: 7517950488 Enrollment ID: I20040406001208 |
Provider Name | Mary D Kruithoff |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1518277532 PECOS PAC ID: 2062765605 Enrollment ID: I20181029000273 |