| Midland General Practice Pc | |
|
901 E Indian St Midland MI 48640-5397 | |
| (989) 832-8803 | |
| (989) 832-4134 |
| Full Name | Midland General Practice Pc |
|---|---|
| Speciality | General Practice |
| Location | 901 E Indian St, Midland, Michigan |
| Authorized Official Name and Position | Debra B Helm (OFFICE MANAGER) |
| Authorized Official Contact | 9898328803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midland General Practice Pc 901 E Indian St Midland MI 48640-5397 Ph: (989) 832-8803 | Midland General Practice Pc 901 E Indian St Midland MI 48640-5397 Ph: (989) 832-8803 |
| NPI Number | 1306863204 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 04/14/2008 |
| Medicare PECOS PAC ID | 9234216409 |
|---|---|
| Medicare Enrollment ID | O20080411000616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306863204 | NPI | - | NPPES |
| 0155628580 | Other | MI | BLUE CROSS BLUE SHIELD |
| 2991184 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | JV005853 (Michigan) | Primary |
| Provider Name | John E Vargas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063692044 PECOS PAC ID: 6507943776 Enrollment ID: I20080411000613 |
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