| Midmichigan Medical Offices-beaverton | |
|
439 S Ross St Beaverton MI 48612-9101 | |
| (989) 246-3500 | |
| (989) 246-3519 |
| Full Name | Midmichigan Medical Offices-beaverton |
|---|---|
| Speciality | Clinic/Center |
| Location | 439 S Ross St, Beaverton, 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 Medical Offices-beaverton 9249 W Lake City Rd Houghton Lake MI 48629-9602 Ph: (989) 422-5122 | Midmichigan Medical Offices-beaverton 439 S Ross St Beaverton MI 48612-9101 Ph: (989) 246-3500 |
| NPI Number | 1114278140 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 05/20/2014 |
| Medicare PECOS PAC ID | 7911800495 |
|---|---|
| Medicare Enrollment ID | O20121025000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114278140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Midmichigan Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 S Ross St, Beaverton, MI 48612 Phone: 989-422-5122 Fax: 989-422-4378 | |
Beaverton Medical Center P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 W Brown St, Beaverton, MI 48612 Phone: 989-435-2937 Fax: 989-435-3121 | |
Family Health & Wellness Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 W Brown St, Beaverton, MI 48612 Phone: 989-435-2937 Fax: 989-435-3121 | |
Mymichigan Medical Center Gladwin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 439 South Ross Street, Beaverton, MI 48612 Phone: 989-246-3500 Fax: 989-246-3519 |