| Morenci Medical Assoc Pc | |
|
240 W Main St Morenci MI 49256-1455 | |
| (517) 458-6848 | |
| (517) 458-7614 |
| Full Name | Morenci Medical Assoc Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 240 W Main St, Morenci, Michigan |
| Authorized Official Name and Position | Shivaprasad K Shetty (PRESIDENT) |
| Authorized Official Contact | 5174586848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morenci Medical Assoc Pc 240 W Main St Morenci MI 49256-1455 Ph: (517) 458-6848 | Morenci Medical Assoc Pc 240 W Main St Morenci MI 49256-1455 Ph: (517) 458-6848 |
| NPI Number | 1891983805 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 02/06/2008 |
| Medicare PECOS PAC ID | 3870495849 |
|---|---|
| Medicare Enrollment ID | O20040301001228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891983805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 062948 (Michigan) | Primary |
| Provider Name | Shivaprasad K Shetty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235133190 PECOS PAC ID: 5991607863 Enrollment ID: I20040301001237 |
Family Medical Center Of Michigan,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 E Locust St, Morenci, MI 49256 Phone: 734-847-3802 | |
Morenci School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 788 Coomer St, Morenci, MI 49256 Phone: 517-458-7502 |