North Point Medical Center Pc | |
9838 Dixie Hwy Ira MI 48023-2813 | |
(586) 725-9611 | |
(586) 725-2630 |
Full Name | North Point Medical Center Pc |
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Speciality | Family Medicine |
Location | 9838 Dixie Hwy, Ira, Michigan |
Authorized Official Name and Position | Barry J Gross (PRESIDENT) |
Authorized Official Contact | 5867259611 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Point Medical Center Pc Po Box 327 Anchorville MI 48004-0327 Ph: (586) 725-9611 | North Point Medical Center Pc 9838 Dixie Hwy Ira MI 48023-2813 Ph: (586) 725-9611 |
NPI Number | 1437227923 |
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Provider Enumeration Date | 12/01/2006 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 4385775717 |
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Medicare Enrollment ID | O20100629000892 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437227923 | NPI | - | NPPES |
1097101 TYPE 11 | Medicaid | MI | |
G7223 | Other | TX | LICENSE |
A-663-77 | Other | NM | LICENSE |
5101007067 | Other | MI | LICENSE |
E39807 | Other | MI | HAP |
0857400645 | Other | MI | BCBS PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101007067 (Michigan) | Primary |
Provider Name | Barry J Gross |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811952294 PECOS PAC ID: 9537227434 Enrollment ID: I20081022000053 |