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4672 Hill St Cass City MI 48726-1028 | |
(989) 872-8202 | |
(989) 872-1245 |
Full Name | |
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Speciality | Clinic/Center |
Location | 4672 Hill St, Cass City, Michigan |
Authorized Official Name and Position | Kimberly Gentner (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 |
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4675 Hill St Ste A Cass City MI 48726-1008 Ph: (989) 872-8202 | 4672 Hill St Cass City MI 48726-1028 Ph: (989) 872-8202 |
NPI Number | 1487924221 |
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Provider Enumeration Date | 01/11/2012 |
Last Update Date | 06/10/2024 |
Medicare PECOS PAC ID | 8022910363 |
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Medicare Enrollment ID | O20120221000300 |
Identifier | Type | State | Issuer |
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1487924221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |