Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 1320 E M 32, Gaylord, Michigan |
Authorized Official Name and Position | Tara Soules (VP/CFO) |
Authorized Official Contact | 9897726818 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1221 South Dr Mt Pleasant MI 48858-3257 Ph: (989) 772-6700 | 1320 E M 32 Gaylord MI 49735-8378 Ph: (989) 731-5092 |
NPI Number | 1447872551 |
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Provider Enumeration Date | 05/12/2020 |
Last Update Date | 10/25/2021 |
Medicare PECOS PAC ID | 6103733092 |
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Medicare Enrollment ID | O20200819002576 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447872551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Pine Trees Medical Office, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 W Main St, Ste B, Gaylord, MI 49735 Phone: 989-448-2900 | |
Alpine Family Medicine Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 652 N Otsego Ave, Gaylord, MI 49735 Phone: 989-732-3529 Fax: 989-732-7865 | |
Otsego Physician Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 N Center Ave, Gaylord, MI 49735 Phone: 989-731-2100 Fax: 989-731-2205 | |
Donald P. Cousineau Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 994 N Center Ave, Gaylord, MI 49735 Phone: 989-732-7843 Fax: 989-731-4513 | |