| Deckerville Healthcare Services Rhc | |
|
2433 Black River St Deckerville MI 48427-9425 | |
| (810) 376-2885 | |
| Not Available |
| Full Name | Deckerville Healthcare Services Rhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2433 Black River St, Deckerville, Michigan |
| Authorized Official Name and Position | Kimberly Gentner (CFO) |
| Authorized Official Contact | 8103762835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deckerville Healthcare Services Rhc 2433 Black River St Deckerville MI 48427-9425 Ph: (810) 376-2885 | Deckerville Healthcare Services Rhc 2433 Black River St Deckerville MI 48427-9425 Ph: (810) 376-2885 |
| NPI Number | 1780011247 |
|---|---|
| Provider Enumeration Date | 09/30/2013 |
| Last Update Date | 10/05/2017 |
| Medicare PECOS PAC ID | 2163508821 |
|---|---|
| Medicare Enrollment ID | O20130904000878 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780011247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Kimberley James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417618224 PECOS PAC ID: 1658751391 Enrollment ID: I20220712000880 |
Deckerville Community Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3532 Main St, Deckerville, MI 48427 Phone: 810-376-3100 Fax: 810-376-8311 | |
Levi L. Guerrero, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3532 Main St, Deckerville, MI 48427 Phone: 810-376-3100 |