| Corewell Health Ludington Hospital Family Medicine - Hesperia | |
|
78 N Division St Hesperia MI 49421-5100 | |
| (231) 845-6415 | |
| Not Available |
| Full Name | Corewell Health Ludington Hospital Family Medicine - Hesperia |
|---|---|
| Speciality | Clinic/Center |
| Location | 78 N Division St, Hesperia, Michigan |
| Authorized Official Name and Position | John Sella (CONTROLLER) |
| Authorized Official Contact | 6168020206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corewell Health Ludington Hospital Family Medicine - Hesperia 100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 Ph: () - | Corewell Health Ludington Hospital Family Medicine - Hesperia 78 N Division St Hesperia MI 49421-5100 Ph: (231) 845-6415 |
| NPI Number | 1730642794 |
|---|---|
| Provider Enumeration Date | 04/08/2019 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 3678543659 |
|---|---|
| Medicare Enrollment ID | O20190711000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730642794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Hesperia Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 78 N Division, Hesperia, MI 49421 Phone: 231-854-6415 Fax: 231-854-6975 | |
Pine Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 78 N Division Ave, Hesperia, MI 49421 Phone: 231-854-6415 Fax: 231-854-6975 | |
Spectrum Health Gerber Memorial Family Medicine - Hepseria Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 78 N Division St, Hesperia, MI 49421 Phone: 231-854-6415 Fax: 231-854-6975 | |
Senior Medical Corp. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3944 S Brenlor Dr, Hesperia, MI 49421 Phone: 231-854-2999 Fax: 231-854-2998 |