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420 W High St Dowagiac MI 49047-1943 | |
(269) 782-9200 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 420 W High St, Dowagiac, Michigan |
Authorized Official Name and Position | Ken Holst (CFO) |
Authorized Official Contact | 2697833034 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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420 W High St Dowagiac MI 49047-1943 Ph: (269) 783-3089 | 420 W High St Dowagiac MI 49047-1943 Ph: (269) 782-9200 |
NPI Number | 1174688089 |
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Provider Enumeration Date | 12/22/2006 |
Last Update Date | 04/17/2008 |
Identifier | Type | State | Issuer |
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1174688089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | SFE1414003186 (Michigan) | Primary |
Lakeland Community Hospital Watervliet Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Main St, Dowagiac, MI 49047 Phone: 269-390-0536 | |
Boonchoo Chang M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 W High St, Dowagiac, MI 49047 Phone: 269-782-7150 Fax: 269-782-7020 | |