| |
6135 Cressy St Indian River MI 49749 | |
(231) 238-8908 | |
(231) 238-4419 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 6135 Cressy St, Indian River, Michigan |
Authorized Official Name and Position | Holly Campa (VICE PRESIDENT/FINANCE) |
Authorized Official Contact | 2316271203 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 419 Cheboygan MI 49721-0419 Ph: (231) 627-1438 | 6135 Cressy St Indian River MI 49749 Ph: (231) 238-8908 |
NPI Number | 1639196199 |
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Provider Enumeration Date | 07/17/2006 |
Last Update Date | 12/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639196199 | NPI | - | NPPES |
700A610050 | Other | MI | GROUP BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (Michigan) | Primary |
Northern Michigan Regional Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6135 Cressy St, Post Office Box 548, Indian River, MI 49749 Phone: 231-238-8908 Fax: 231-238-4419 | |
Douglas A. Furman Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7037 West M-68 Hwy, Indian River, MI 49749 Phone: 231-238-9386 Fax: 231-238-6895 |