| Gateway Healthcare | |
|
1549 Washington St Midland MI 48640-5685 | |
| (989) 259-1000 | |
| (989) 402-0097 |
| Full Name | Gateway Healthcare |
|---|---|
| Speciality | General Practice |
| Location | 1549 Washington St, Midland, Michigan |
| Authorized Official Name and Position | James Mier (CLINIC DIRECTOR) |
| Authorized Official Contact | 9892591000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Healthcare 1549 Washington St Midland MI 48640-5685 Ph: (989) 259-1000 | Gateway Healthcare 1549 Washington St Midland MI 48640-5685 Ph: (989) 259-1000 |
| NPI Number | 1508519414 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 09/27/2023 |
| Medicare PECOS PAC ID | 4284028481 |
|---|---|
| Medicare Enrollment ID | O20220304001151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508519414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Janet R Ader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639310279 PECOS PAC ID: 6507800257 Enrollment ID: I20050614000944 |
| Provider Name | Shawn E Bunch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851584494 PECOS PAC ID: 2062576523 Enrollment ID: I20140220001104 |
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