| Midmichigan Health Services Houghton Lake Community Schools | |
|
4433 W Houghton Lake Dr Houghton Lake MI 48629-9786 | |
| (989) 366-2003 | |
| (989) 422-4378 |
| Full Name | Midmichigan Health Services Houghton Lake Community Schools |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4433 W Houghton Lake Dr, Houghton Lake, Michigan |
| Authorized Official Name and Position | Darrell E Milner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9894225148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midmichigan Health Services Houghton Lake Community Schools 9249 W Lake City Rd Houghton Lake MI 48629-9602 Ph: (989) 422-5122 | Midmichigan Health Services Houghton Lake Community Schools 4433 W Houghton Lake Dr Houghton Lake MI 48629-9786 Ph: (989) 366-2003 |
| NPI Number | 1316104995 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316104995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Michigan) | Primary |
Midmichigan Health Park-houghton Lake Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9249 W Lake City Rd, Houghton Lake, MI 48629 Phone: 989-422-5122 Fax: 989-422-6838 |