Full Name | |
---|---|
Speciality | Family Medicine |
Location | W4243 M69, Felch, Michigan |
Authorized Official Name and Position | Alicia Henderson (PHYSICIAN BILLING SUPERVISOR) |
Authorized Official Contact | 9067765665 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 549 Iron Mountain MI 49801-0549 Ph: (906) 246-3800 | W4243 M69 Felch MI 49831-9800 Ph: (906) 246-3800 |
NPI Number | 1639112774 |
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Provider Enumeration Date | 06/14/2006 |
Last Update Date | 07/22/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639112774 | NPI | - | NPPES |
43061200 | Medicaid | WI | |
16125 | Other | MI | BCBS FACILITY CODE RHC |
23-8558 | Other | MI | RHC MEDICARE PIN |