Community Life Medical Pllc | |
910 E Lincoln Ave Ionia MI 48846-1393 | |
(616) 527-2370 | |
(616) 527-3824 |
Full Name | Community Life Medical Pllc |
---|---|
Speciality | Family Medicine |
Location | 910 E Lincoln Ave, Ionia, Michigan |
Authorized Official Name and Position | Sheila M Gendich (OWNER) |
Authorized Official Contact | 6165272370 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Community Life Medical Pllc 910 E Lincoln Ave Ionia MI 48846-1393 Ph: (616) 527-2370 | Community Life Medical Pllc 910 E Lincoln Ave Ionia MI 48846-1393 Ph: (616) 527-2370 |
NPI Number | 1629737838 |
---|---|
Provider Enumeration Date | 12/15/2021 |
Last Update Date | 12/15/2021 |
Medicare PECOS PAC ID | 2668867508 |
---|---|
Medicare Enrollment ID | O20220311001253 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629737838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Sheila M Gendich |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124018536 PECOS PAC ID: 6901819481 Enrollment ID: I20060731000131 |
Pennock Hospital Board Of Trustees Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2776 S State Rd, Ionia, MI 48846 Phone: 616-486-6790 | |
Ionia Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Lovell St, Ionia, MI 48846 Phone: 616-527-5732 Fax: 616-527-5720 | |
Adoc Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 E Lincoln Ave, Ionia, MI 48846 Phone: 616-527-2370 |