Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 955 Commerce, Vassar, Michigan |
Authorized Official Name and Position | Lisa Galonska (VICE PRESIDENT) |
Authorized Official Contact | 9897596464 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
501 Lapeer Saginaw MI 48607-8954 Ph: (989) 759-6464 | 955 Commerce Vassar MI 48768-1208 Ph: (989) 759-6464 |
NPI Number | 1649400284 |
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Provider Enumeration Date | 07/16/2009 |
Last Update Date | 12/02/2021 |
Medicare PECOS PAC ID | 2466369046 |
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Medicare Enrollment ID | O20170915002566 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649400284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
Dr Robert D Grimshaw Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W Huron Ave, Vassar, MI 48768 Phone: 989-823-5030 | |
Vassar Express Clinic Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 193 W Huron, Vassar, MI 48768 Phone: 989-823-3466 Fax: 989-823-3666 | |