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801 W Lincoln Ave Cheboygan MI 49721 | |
(231) 597-9585 | |
(989) 733-6921 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 801 W Lincoln Ave, Cheboygan, Michigan |
Authorized Official Name and Position | Richard Bates (INTERIM CEO) |
Authorized Official Contact | 9893542197 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 427 Hillman MI 49746-0427 Ph: (989) 354-2197 | 801 W Lincoln Ave Cheboygan MI 49721 Ph: (231) 597-9585 |
NPI Number | 1124505755 |
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Provider Enumeration Date | 07/26/2018 |
Last Update Date | 03/13/2023 |
Identifier | Type | State | Issuer |
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1124505755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Leja Jackson Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 S Huron St, Cheboygan, MI 49721 Phone: 231-597-8192 Fax: 231-597-8463 | |