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600 Macinnes Drive Houghton MI 49931-1144 | |
(906) 483-1860 | |
(906) 372-3230 |
Full Name | |
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Speciality | Clinic/Center |
Location | 600 Macinnes Drive, Houghton, Michigan |
Authorized Official Name and Position | Donald A Simila (CEO) |
Authorized Official Contact | 9064831325 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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301 Explorer St Gwinn MI 49841-2813 Ph: (906) 483-1860 | 600 Macinnes Drive Houghton MI 49931-1144 Ph: (906) 483-1860 |
NPI Number | 1811325103 |
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Provider Enumeration Date | 10/23/2013 |
Last Update Date | 11/11/2024 |
Medicare PECOS PAC ID | 1951432384 |
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Medicare Enrollment ID | O20140218001131 |
Identifier | Type | State | Issuer |
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1811325103 | NPI | - | NPPES |
Upper Great Lakes Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 W Sharon Ave, Houghton, MI 49931 Phone: 906-346-9667 Fax: 906-346-9113 | |