| Ausable Valley Cmh | |
|
1199 Harris Ave Tawas City MI 48763-9681 | |
| (989) 362-8636 | |
| Not Available |
| Full Name | Ausable Valley Cmh |
|---|---|
| Speciality | Clinic/center |
| Location | 1199 Harris Ave, Tawas City, Michigan |
| Authorized Official Name and Position | Bonnie Lixey (REIMBURSEMENTS SUPERVISOR) |
| Authorized Official Contact | 9893628636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ausable Valley Cmh Po Box 310 Tawas City MI 48764-0310 Ph: (989) 362-8636 | Ausable Valley Cmh 1199 Harris Ave Tawas City MI 48763-9681 Ph: (989) 362-8636 |
| NPI Number | 1952628893 |
|---|---|
| Provider Enumeration Date | 05/03/2010 |
| Last Update Date | 05/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952628893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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