| Midmichigan Health Park-houghton Lake | |
|
9249 W Lake City Rd Houghton Lake MI 48629-9602 | |
| (989) 422-5122 | |
| (989) 422-6838 |
| Full Name | Midmichigan Health Park-houghton Lake |
|---|---|
| Speciality | Clinic/Center |
| Location | 9249 W Lake City Rd, Houghton Lake, Michigan |
| Authorized Official Name and Position | James P. Raschke (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9894225122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midmichigan Health Park-houghton Lake 9249 W Lake City Rd Houghton Lake MI 48629-9602 Ph: (989) 422-5122 | Midmichigan Health Park-houghton Lake 9249 W Lake City Rd Houghton Lake MI 48629-9602 Ph: (989) 422-5122 |
| NPI Number | 1912998287 |
|---|---|
| Provider Enumeration Date | 11/04/2005 |
| Last Update Date | 04/22/2015 |
| Medicare PECOS PAC ID | 7911800495 |
|---|---|
| Medicare Enrollment ID | O20081021000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912998287 | NPI | - | NPPES |
| 18009 | Other | MI | BCBSM FACILITY CODE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4301068191 (Michigan) | Primary |
Midmichigan Health Services Houghton Lake Community Schools Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4433 W Houghton Lake Dr, Houghton Lake, MI 48629 Phone: 989-366-2003 Fax: 989-422-4378 |