Great Lakes Bay Health Centers Wolverine Vassar #2 | |
955 Commerce Vassar MI 48768-1208 | |
(989) 759-6464 | |
Not Available |
Full Name | Great Lakes Bay Health Centers Wolverine Vassar #2 |
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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 |
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Great Lakes Bay Health Centers Wolverine Vassar #2 501 Lapeer Saginaw MI 48607-8954 Ph: (989) 759-6464 | Great Lakes Bay Health Centers Wolverine Vassar #2 955 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 |
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1649400284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
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Great Lakes Bay Health Centers Woverine Vassar Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1015 Commerce, Wolverine Human Services Vassar Health Center, Vassar, MI 48768 Phone: 989-759-6464 Fax: 989-399-8233 |