Battle Creek Family Care | |
2545 Capital Ave Sw Ste 201 Battle Creek MI 49015 | |
(269) 224-6190 | |
Not Available |
Full Name | Battle Creek Family Care |
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Speciality | Family Medicine |
Location | 2545 Capital Ave Sw, Battle Creek, Michigan |
Authorized Official Name and Position | Carl Kinzel (OWNER) |
Authorized Official Contact | 2692246190 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Battle Creek Family Care 2545 Capital Ave Sw Ste 201 Battle Creek MI 49015 Ph: () - | Battle Creek Family Care 2545 Capital Ave Sw Ste 201 Battle Creek MI 49015 Ph: (269) 224-6190 |
NPI Number | 1104392943 |
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Provider Enumeration Date | 10/19/2018 |
Last Update Date | 01/31/2019 |
Medicare PECOS PAC ID | 0941546501 |
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Medicare Enrollment ID | O20190118000541 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104392943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Carl J Kinzel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992983209 PECOS PAC ID: 8820175664 Enrollment ID: I20110228000489 |
Provider Name | Lori Ganton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528657210 PECOS PAC ID: 5395143523 Enrollment ID: I20211001001562 |
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