St. Ignace Medical Clinic, Annex | |
1140 N State St Saint Ignace MI 49781-1048 | |
(906) 643-0400 | |
Not Available |
Full Name | St. Ignace Medical Clinic, Annex |
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Speciality | Clinic/Center |
Location | 1140 N State St, Saint Ignace, Michigan |
Authorized Official Name and Position | Sonja Sprague (CREDENTIALING AND ENROLLMENTS) |
Authorized Official Contact | 9066430451 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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St. Ignace Medical Clinic, Annex 1140 N State St Saint Ignace MI 49781-1048 Ph: () - | St. Ignace Medical Clinic, Annex 1140 N State St Saint Ignace MI 49781-1048 Ph: (906) 643-0400 |
NPI Number | 1659868206 |
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Provider Enumeration Date | 04/19/2018 |
Last Update Date | 06/09/2022 |
Medicare PECOS PAC ID | 1456420876 |
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Medicare Enrollment ID | O20181004002034 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659868206 | NPI | - | NPPES |
238716 | Other | MEDICARE |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mackinac Straits Hospital And Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1140 N State St, Saint Ignace, MI 49781 Phone: 906-643-8585 Fax: 906-643-0373 | |
Pickford Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Burdette St, Saint Ignace, MI 49781 Phone: 906-643-8585 Fax: 906-643-0373 | |
Mackinac Straits Hospital And Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Burdette St, Saint Ignace, MI 49781 Phone: 906-643-8585 Fax: 906-643-0373 | |
Mackinac Straits Hospital And Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1140 N State St, Saint Ignace, MI 49781 Phone: 906-643-8585 Fax: 906-643-0373 | |
Mackinac Straits Hospital And Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Burdette St, Saint Ignace, MI 49781 Phone: 906-643-8585 Fax: 906-643-6188 | |
St. Ignace Tribal Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 N State St, Saint Ignace, MI 49781 Phone: 906-643-8689 Fax: 906-643-6716 |