| |
6190 Hospital Dr Cass City MI 48726-1072 | |
(989) 872-8303 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 6190 Hospital Dr, Cass City, Michigan |
Authorized Official Name and Position | Kenneth E Baranski (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 9899126225 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
4675 Hill St Cass City MI 48726-1008 Ph: () - | 6190 Hospital Dr Cass City MI 48726-1072 Ph: (989) 872-8303 |
NPI Number | 1144665456 |
---|---|
Provider Enumeration Date | 05/01/2013 |
Last Update Date | 05/01/2013 |
Medicare PECOS PAC ID | 8022910363 |
---|---|
Medicare Enrollment ID | O20130618000657 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144665456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |