| Northwest Michigan Health Services, Inc. | |
|
148 W Parkdale Ave Manistee MI 49660-1128 | |
| (231) 947-0351 | |
| (231) 947-7739 |
| Full Name | Northwest Michigan Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 148 W Parkdale Ave, Manistee, Michigan |
| Authorized Official Name and Position | Heidi Mae Britton (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2319471112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Michigan Health Services, Inc. 10767 E Traverse Hwy Traverse City MI 49684-6219 Ph: (231) 947-1112 | Northwest Michigan Health Services, Inc. 148 W Parkdale Ave Manistee MI 49660-1128 Ph: (231) 947-0351 |
| NPI Number | 1326589961 |
|---|---|
| Provider Enumeration Date | 03/15/2017 |
| Last Update Date | 03/08/2024 |
| Medicare PECOS PAC ID | 6608007729 |
|---|---|
| Medicare Enrollment ID | O20180405002188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326589961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Michigan) | Primary |
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