Northwest Michigan Health Services | |
525 12th St Ofc 1 Manistee MI 49660-2053 | |
(231) 398-3623 | |
Not Available |
Full Name | Northwest Michigan Health Services |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 525 12th St Ofc 1, Manistee, Michigan |
Authorized Official Name and Position | Heidi Britton (CEO) |
Authorized Official Contact | 2319471112 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northwest Michigan Health Services 10767 E Traverse Hwy Traverse City MI 49684-6219 Ph: (231) 947-1112 | Northwest Michigan Health Services 525 12th St Ofc 1 Manistee MI 49660-2053 Ph: (231) 398-3623 |
NPI Number | 1376173179 |
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Provider Enumeration Date | 01/21/2020 |
Last Update Date | 03/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376173179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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