| Gobles Medical Clinic | |
|
406 N State St Gobles MI 49055-9717 | |
| (269) 628-2196 | |
| (269) 628-2363 |
| Full Name | Gobles Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 406 N State St, Gobles, Michigan |
| Authorized Official Name and Position | Marina Houghton (CFO) |
| Authorized Official Contact | 2692264800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gobles Medical Clinic 1717 Shaffer Street, Suite 002 Kalamazoo MI 49048 Ph: () - | Gobles Medical Clinic 406 N State St Gobles MI 49055-9717 Ph: (269) 628-2196 |
| NPI Number | 1306323043 |
|---|---|
| Provider Enumeration Date | 07/25/2018 |
| Last Update Date | 05/31/2023 |
| Medicare PECOS PAC ID | 5092750356 |
|---|---|
| Medicare Enrollment ID | O20180919000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306323043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Gobles Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 N State St, Gobles, MI 49055 Phone: 269-628-2196 Fax: 269-628-2363 |