| Hna Michelin Family Health Center | |
|
10 Parkway S Greenville SC 29615 | |
| (864) 458-6933 | |
| (864) 458-6888 |
| Full Name | Hna Michelin Family Health Center |
|---|---|
| Speciality | General Practice |
| Location | 10 Parkway S, Greenville, South Carolina |
| Authorized Official Name and Position | Brett Gall (DIRECTOR PAYOR CONTRACTING) |
| Authorized Official Contact | 3042252500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hna Michelin Family Health Center 1001 Consol Energy Dr Canonsburg PA 15317-6506 Ph: (304) 225-2500 | Hna Michelin Family Health Center 10 Parkway S Greenville SC 29615 Ph: (864) 458-6933 |
| NPI Number | 1598259772 |
|---|---|
| Provider Enumeration Date | 06/20/2018 |
| Last Update Date | 07/02/2018 |
| Medicare PECOS PAC ID | 4486987153 |
|---|---|
| Medicare Enrollment ID | O20190612000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598259772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Rebecca A Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265698732 PECOS PAC ID: 9335298314 Enrollment ID: I20090521000443 |
| Provider Name | Donna M Smyth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033551890 PECOS PAC ID: 8921242868 Enrollment ID: I20140508001382 |
| Provider Name | Michael Vito Dimucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083694806 PECOS PAC ID: 1759286842 Enrollment ID: I20190520003072 |
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