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800 East Blvd Kingsford MI 49802-4436 | |
(906) 774-4000 | |
(906) 774-0088 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 800 East Blvd, Kingsford, Michigan |
Authorized Official Name and Position | Alicia Henderson (PHYSICIAN BILLING SUPERVISOR) |
Authorized Official Contact | 9067765665 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 549 Iron Mountain MI 49801-0549 Ph: (906) 774-1313 | 800 East Blvd Kingsford MI 49802-4436 Ph: (906) 774-4000 |
NPI Number | 1831408459 |
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Provider Enumeration Date | 09/30/2010 |
Last Update Date | 09/30/2010 |
Identifier | Type | State | Issuer |
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1831408459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |