Center For Family Health Northwest | |
6700 Rives Junction Rd Jackson MI 49201-7448 | |
(517) 569-3200 | |
(517) 569-3005 |
Full Name | Center For Family Health Northwest |
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Speciality | Clinic/Center |
Location | 6700 Rives Junction Rd, Jackson, Michigan |
Authorized Official Name and Position | Molly Kaser (CEO) |
Authorized Official Contact | 5177485500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center For Family Health Northwest 505 N Jackson St Jackson MI 49201-1266 Ph: (517) 748-5500 | Center For Family Health Northwest 6700 Rives Junction Rd Jackson MI 49201-7448 Ph: (517) 569-3200 |
NPI Number | 1679905376 |
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Provider Enumeration Date | 08/05/2013 |
Last Update Date | 02/10/2022 |
Medicare PECOS PAC ID | 4587574421 |
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Medicare Enrollment ID | O20130926000409 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679905376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Michigan) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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