| Family Health Center - City Of Portage | |
|
325 E Centre Ave Portage MI 49002-5512 | |
| (269) 349-2641 | |
| Not Available |
| Full Name | Family Health Center - City Of Portage |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 325 E Centre Ave, Portage, Michigan |
| Authorized Official Name and Position | Denise R Crawford (PRESIDENT AND CEO) |
| Authorized Official Contact | 2693494257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center - City Of Portage 117 W Paterson St Kalamazoo MI 49007-2557 Ph: (269) 349-2641 | Family Health Center - City Of Portage 325 E Centre Ave Portage MI 49002-5512 Ph: (269) 349-2641 |
| NPI Number | 1659567956 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 11/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659567956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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