| Emerald Medical Center Plc | |
|
114 W Harris St Suite B Charlotte MI 48813-2311 | |
| (517) 543-6555 | |
| (517) 543-6855 |
| Full Name | Emerald Medical Center Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 114 W Harris St, Charlotte, Michigan |
| Authorized Official Name and Position | Ted G Coy (OWNER) |
| Authorized Official Contact | 5175436555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Medical Center Plc 114 W Harris St Suite B Charlotte MI 48813-2311 Ph: (517) 543-6555 | Emerald Medical Center Plc 114 W Harris St Suite B Charlotte MI 48813-2311 Ph: (517) 543-6555 |
| NPI Number | 1689835217 |
|---|---|
| Provider Enumeration Date | 06/17/2008 |
| Last Update Date | 06/17/2008 |
| Medicare PECOS PAC ID | 9436226305 |
|---|---|
| Medicare Enrollment ID | O20080917000840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689835217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301076589 (Michigan) | Primary |
| Provider Name | Ted G Coy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740273069 PECOS PAC ID: 1355235805 Enrollment ID: I20040214000052 |
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