Northern Pines Health Center, Pc | |
11293 N M 37 Suite A Buckley MI 49620-9593 | |
(231) 269-4185 | |
(231) 269-4461 |
Full Name | Northern Pines Health Center, Pc |
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Speciality | Clinic/Center |
Location | 11293 N M 37, Buckley, Michigan |
Authorized Official Name and Position | Mitzie J Hewitt (OWNER) |
Authorized Official Contact | 2312694185 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northern Pines Health Center, Pc 11293 N M 37 Suite A Buckley MI 49620-9593 Ph: (231) 269-4185 | Northern Pines Health Center, Pc 11293 N M 37 Suite A Buckley MI 49620-9593 Ph: (231) 269-4185 |
NPI Number | 1578547071 |
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Provider Enumeration Date | 11/30/2005 |
Last Update Date | 03/24/2021 |
Medicare PECOS PAC ID | 0446161251 |
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Medicare Enrollment ID | O20030724000005 |
Identifier | Type | State | Issuer |
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1578547071 | NPI | - | NPPES |
4513149 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
305R00000X | Preferred Provider Organization | 5101013101 (Michigan) | Secondary |