| Corewell Health Watervliet Hospital Primary Care - Coloma | |
|
6701 Paw Paw Ave Coloma MI 49038-9519 | |
| (269) 468-6430 | |
| (269) 468-0013 |
| Full Name | Corewell Health Watervliet Hospital Primary Care - Coloma |
|---|---|
| Speciality | Clinic/Center |
| Location | 6701 Paw Paw Ave, Coloma, Michigan |
| Authorized Official Name and Position | Matt Cox (CFO) |
| Authorized Official Contact | 6163910780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corewell Health Watervliet Hospital Primary Care - Coloma 400 Medical Park Drive Watervliet MI 49098 Ph: (269) 463-2448 | Corewell Health Watervliet Hospital Primary Care - Coloma 6701 Paw Paw Ave Coloma MI 49038-9519 Ph: (269) 468-6430 |
| NPI Number | 1083710701 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 04/01/2023 |
| Medicare PECOS PAC ID | 7416942750 |
|---|---|
| Medicare Enrollment ID | O20070119000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083710701 | NPI | - | NPPES |
| 700A110160 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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