| Ice Lake Family Health Center | |
|
1500 W Ice Lake Road Iron River MI 49935-8509 | |
| (906) 265-5378 | |
| (906) 265-4245 |
| Full Name | Ice Lake Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1500 W Ice Lake Road, Iron River, 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 |
|---|---|
| Ice Lake Family Health Center 301 Explorer St Gwinn MI 49841-2813 Ph: (906) 481-8586 | Ice Lake Family Health Center 1500 W Ice Lake Road Iron River MI 49935-8509 Ph: (906) 265-5378 |
| NPI Number | 1508289273 |
|---|---|
| Provider Enumeration Date | 01/30/2014 |
| Last Update Date | 04/14/2021 |
| Medicare PECOS PAC ID | 1951432384 |
|---|---|
| Medicare Enrollment ID | O20140424000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508289273 | NPI | - | NPPES |
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