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321 N Hemlock St Evart MI 49631-9588 | |
(231) 734-4219 | |
(231) 734-9974 |
Full Name | |
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Speciality | Clinic/Center |
Location | 321 N Hemlock St, Evart, Michigan |
Authorized Official Name and Position | Julie Tatko (CEO) |
Authorized Official Contact | 2317452743 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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520 Cobb St Cadillac MI 49601-2588 Ph: (231) 876-6527 | 321 N Hemlock St Evart MI 49631-9588 Ph: (231) 734-4219 |
NPI Number | 1912774282 |
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Provider Enumeration Date | 12/07/2023 |
Last Update Date | 03/26/2024 |
Medicare PECOS PAC ID | 1153215413 |
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Medicare Enrollment ID | O20240108005544 |
Identifier | Type | State | Issuer |
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1912774282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |