| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1951 Oak St, Niles, Michigan |
| Authorized Official Name and Position | Joseph Gavan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2694453874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1951 Oak St Niles MI 49120-3738 Ph: (269) 262-4749 | 1951 Oak St Niles MI 49120-3738 Ph: (269) 262-4749 |
| NPI Number | 1760802912 |
|---|---|
| Provider Enumeration Date | 04/25/2014 |
| Last Update Date | 11/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760802912 | NPI | - | NPPES |
Integrated Home Physicians Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 423 Sycamore St Ste 103, Niles, MI 49120 Phone: 269-479-3030 Fax: 269-479-3032 | |
George E. Drake, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 S 5th St, Niles, MI 49120 Phone: 269-687-9607 | |
Douglas Tacket Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 N Saint Joseph Ave, Suite G, Niles, MI 49120 Phone: 269-684-5002 | |
Glenda M Gensolin Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 N Saint Joseph Ave Ste C2, Niles, MI 49120 Phone: 269-683-0330 Fax: 269-684-0400 |