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319 W Delaware St Decatur MI 49045-1106 | |
(269) 423-7028 | |
(269) 423-8282 |
Full Name | |
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Speciality | Clinic/Center |
Location | 319 W Delaware St, Decatur, Michigan |
Authorized Official Name and Position | Rebecca East (SVP, CFO) |
Authorized Official Contact | 2693416000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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301 John St Box 42 Kalamazoo MI 49007-5295 Ph: (269) 341-7806 | 319 W Delaware St Decatur MI 49045-1106 Ph: (269) 423-7028 |
NPI Number | 1376767285 |
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Provider Enumeration Date | 04/12/2007 |
Last Update Date | 11/27/2023 |
Medicare PECOS PAC ID | 9032008495 |
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Medicare Enrollment ID | O20080523000537 |
Identifier | Type | State | Issuer |
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1376767285 | NPI | - | NPPES |