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1040 S Van Dyke Rd Bad Axe MI 48413-9602 | |
(989) 269-9521 | |
(989) 269-5260 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1040 S Van Dyke Rd, Bad Axe, Michigan |
Authorized Official Name and Position | Kenneth Baranski (VP/CFO) |
Authorized Official Contact | 9892691510 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1100 S Van Dyke Rd Bad Axe MI 48413-9615 Ph: (989) 269-9521 | 1040 S Van Dyke Rd Bad Axe MI 48413-9602 Ph: (989) 269-9521 |
NPI Number | 1437405172 |
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Provider Enumeration Date | 07/31/2012 |
Last Update Date | 11/14/2024 |
Medicare PECOS PAC ID | 6800709221 |
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Medicare Enrollment ID | O20200818000796 |
Identifier | Type | State | Issuer |
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1437405172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 1060000058 (Michigan) | Primary |
Hills & Dales General Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 684 N Port Crescent St, Bad Axe, MI 48413 Phone: 989-912-6575 Fax: 989-912-6013 | |
Huron Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 S Van Dyke Rd, Bad Axe, MI 48413 Phone: 989-269-4621 Fax: 989-269-7517 | |
Rostam Adult And Pediatric Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 262 S Pt Crescent St, Bad Axe, MI 48413 Phone: 989-493-9327 Fax: 989-623-0172 |