| Christian Global Medical | |
|
451 W Milham Ave Portage MI 49024-2721 | |
| (269) 352-0655 | |
| Not Available |
| Full Name | Christian Global Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 451 W Milham Ave, Portage, Michigan |
| Authorized Official Name and Position | Manjerngie Cecelia Ndebe (CHIEF GLOBAL EXECUTIVE OFFICER) |
| Authorized Official Contact | 2693520655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Global Medical Po Box 497 Portage MI 49081-0497 Ph: (269) 352-0655 | Christian Global Medical 451 W Milham Ave Portage MI 49024-2721 Ph: (269) 352-0655 |
| NPI Number | 1841621299 |
|---|---|
| Provider Enumeration Date | 12/11/2013 |
| Last Update Date | 12/11/2013 |
| Medicare PECOS PAC ID | 4981928504 |
|---|---|
| Medicare Enrollment ID | O20150130000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841621299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (Michigan) | Secondary |
| Provider Name | Marguerite A Sein Ohn Saith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497702534 PECOS PAC ID: 0244288546 Enrollment ID: I20050104000159 |
| Provider Name | Petra A Sabala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467593350 PECOS PAC ID: 9436291887 Enrollment ID: I20100122000310 |
| Provider Name | Manjerngie C Ndebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063562585 PECOS PAC ID: 4082809702 Enrollment ID: I20101108001082 |
| Provider Name | Ronald L Kissel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851484356 PECOS PAC ID: 6608974985 Enrollment ID: I20141113000767 |
| Provider Name | Andrew K Cole |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669465886 PECOS PAC ID: 0648267922 Enrollment ID: I20170315002303 |
| Provider Name | Musu Olu Sonnie-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407328107 PECOS PAC ID: 9133551559 Enrollment ID: I20191122001330 |
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