| Family Medicine Clinic | |
|
292 E Chicago St Coldwater MI 49036-2041 | |
| (517) 279-5378 | |
| Not Available |
| Full Name | Family Medicine Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 292 E Chicago St, Coldwater, Michigan |
| Authorized Official Name and Position | Richard Trufant (CFO) |
| Authorized Official Contact | 5172795396 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Clinic 274 E Chicago St Coldwater MI 49036-2041 Ph: (517) 279-5400 | Family Medicine Clinic 292 E Chicago St Coldwater MI 49036-2041 Ph: (517) 279-5378 |
| NPI Number | 1053348938 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9335037514 |
|---|---|
| Medicare Enrollment ID | O20091014000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053348938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 120010 (Michigan) | Primary |
| Provider Name | Patricia S Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316333867 PECOS PAC ID: 0941518195 Enrollment ID: I20151007003013 |
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