| Francis Street Medical Associates Pc | |
|
143 West Prospect St Jackson MI 49203 | |
| (517) 784-8546 | |
| (517) 784-8538 |
| Full Name | Francis Street Medical Associates Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 143 West Prospect St, Jackson, Michigan |
| Authorized Official Name and Position | Horace J Davis (OWNER) |
| Authorized Official Contact | 5177848546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Francis Street Medical Associates Pc 143 West Prospect St Jackson MI 49203 Ph: (517) 784-8546 | Francis Street Medical Associates Pc 143 West Prospect St Jackson MI 49203 Ph: (517) 784-8546 |
| NPI Number | 1730245499 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730245499 | NPI | - | NPPES |
| 0721 | Other | HEALTH PLAN OF MICHIGAN | |
| 080C812780 | Other | MI | BCBS |
| 1300262 | Medicaid | MI | |
| 5133877 | Other | BLUE CARE NETWORK | |
| 120129 | Other | PHP | |
| 10020 | Other | GREAT LAKES HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | HD007157 (Michigan) | Primary |
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