| Cascade Chiropractic Clinic, P.c. | |
|
6151 28th St Se Grand Rapids MI 49546-6935 | |
| (616) 942-0081 | |
| (616) 942-7517 |
| Full Name | Cascade Chiropractic Clinic, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6151 28th St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Mark A Kline (PRESIDENT) |
| Authorized Official Contact | 6169420081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Chiropractic Clinic, P.c. 6151 28th St Se Grand Rapids MI 49546-6935 Ph: (616) 942-0081 | Cascade Chiropractic Clinic, P.c. 6151 28th St Se Grand Rapids MI 49546-6935 Ph: (616) 942-0081 |
| NPI Number | 1083881700 |
|---|---|
| Provider Enumeration Date | 05/12/2008 |
| Last Update Date | 05/12/2008 |
| Medicare PECOS PAC ID | 0244396034 |
|---|---|
| Medicare Enrollment ID | O20090303000350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083881700 | NPI | - | NPPES |
| 2117147 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2301004272 (Michigan) | Primary |
| Provider Name | Mark A Kline |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679522460 PECOS PAC ID: 1254497043 Enrollment ID: I20090303000340 |
| Provider Name | Trevor Charles Kline |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376206185 PECOS PAC ID: 6406244904 Enrollment ID: I20211103000984 |
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Elite Health, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Fulton St E, Suite A, Grand Rapids, MI 49503 Phone: 616-644-1423 Fax: 616-773-1291 | |
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