| Midmichigan Medical Offices-community Mental Health For Central Mich | |
|
218 Fast Ice Dr Midland MI 48642-6167 | |
| (989) 246-3500 | |
| (989) 246-3519 |
| Full Name | Midmichigan Medical Offices-community Mental Health For Central Mich |
|---|---|
| Speciality | Clinic/Center |
| Location | 218 Fast Ice Dr, Midland, 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-community Mental Health For Central Mich 9249 W Lake City Rd Houghton Lake MI 48629-9602 Ph: (989) 422-5122 | Midmichigan Medical Offices-community Mental Health For Central Mich 218 Fast Ice Dr Midland MI 48642-6167 Ph: (989) 246-3500 |
| NPI Number | 1982094876 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 01/29/2015 |
| Medicare PECOS PAC ID | 7911800495 |
|---|---|
| Medicare Enrollment ID | O20150213001795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982094876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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