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3500 Ludington St Suite 210 Escanaba MI 49829-4216 | |
(906) 786-9211 | |
(906) 786-3338 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 3500 Ludington St, Escanaba, Michigan |
Authorized Official Name and Position | Bonnie L Culfa (DIVISION OF HEALTH DIRECTOR) |
Authorized Official Contact | 9066325272 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3500 Ludington St Suite 210 Escanaba MI 49829-4216 Ph: (906) 786-9211 | 3500 Ludington St Suite 210 Escanaba MI 49829-4216 Ph: (906) 786-9211 |
NPI Number | 1023208774 |
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Provider Enumeration Date | 07/30/2007 |
Last Update Date | 07/30/2007 |
Identifier | Type | State | Issuer |
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1023208774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Bright Star Enterprises, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 12th Rd, Escanaba, MI 49829 Phone: 906-786-9391 | |