| Harbor Hall, Inc. | |
|
114 Rush St Petoskey MI 49770-2920 | |
| (231) 347-5511 | |
| (231) 347-5422 |
| Full Name | Harbor Hall, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 114 Rush St, Petoskey, Michigan |
| Authorized Official Name and Position | Kayla Jane Pennington (ASSISTANT) |
| Authorized Official Contact | 2313475511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Hall, Inc. 704 Emmet St Petoskey MI 49770-2910 Ph: (231) 347-5511 | Harbor Hall, Inc. 114 Rush St Petoskey MI 49770-2920 Ph: (231) 347-5511 |
| NPI Number | 1649733148 |
|---|---|
| Provider Enumeration Date | 04/11/2019 |
| Last Update Date | 01/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649733148 | NPI | - | NPPES |
| SA0240037 | Medicaid | MI |
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