Community Care - Kinross | |
16523 S Water Tower Dr Kincheloe MI 49788-1592 | |
(906) 495-1344 | |
(906) 495-1403 |
Full Name | Community Care - Kinross |
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Speciality | Family Medicine |
Location | 16523 S Water Tower Dr, Kincheloe, Michigan |
Authorized Official Name and Position | Kevin R Kalchik (PRESIDENT) |
Authorized Official Contact | 9066354456 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Care - Kinross 16523 S Water Tower Dr Kincheloe MI 49788-1592 Ph: (906) 495-1344 | Community Care - Kinross 16523 S Water Tower Dr Kincheloe MI 49788-1592 Ph: (906) 495-1344 |
NPI Number | 1851434419 |
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Provider Enumeration Date | 02/14/2007 |
Last Update Date | 11/21/2022 |
Medicare PECOS PAC ID | 7315936481 |
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Medicare Enrollment ID | O20121106000340 |
Identifier | Type | State | Issuer |
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1851434419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ebony Allison |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780180786 PECOS PAC ID: 3375806714 Enrollment ID: I20210329001637 |
Kinross Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16877 S Water Tower Dr, Kincheloe, MI 49788 Phone: 906-495-5745 Fax: 906-495-5940 |