| Detour Village Medical Center | |
|
346 Superior St De Tour Village MI 49725 | |
| (906) 297-3204 | |
| Not Available |
| Full Name | Detour Village Medical Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 346 Superior St, De Tour Village, Michigan |
| Authorized Official Name and Position | Bonnie Culfa (HEALTH DIRECTOR) |
| Authorized Official Contact | 9066325200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detour Village Medical Center 346 Superior St De Tour Village MI 49725 Ph: (906) 297-3204 | Detour Village Medical Center 346 Superior St De Tour Village MI 49725 Ph: (906) 297-3204 |
| NPI Number | 1861545337 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 07/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861545337 | NPI | - | NPPES |
| 231875 | Other | MI | FQHC FACILITY NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 231875 (* (Not Available)) | Primary |