| Packard Health, Inc. | |
|
200 Arnet St Ste 110 Ypsilanti MI 48198-5753 | |
| (734) 985-7200 | |
| (734) 484-0913 |
| Full Name | Packard Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Arnet St Ste 110, Ypsilanti, Michigan |
| Authorized Official Name and Position | Todd R Montrief (CFO) |
| Authorized Official Contact | 7349264935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Packard Health, Inc. 5200 Venture Dr Ann Arbor MI 48108-9561 Ph: (734) 773-1829 | Packard Health, Inc. 200 Arnet St Ste 110 Ypsilanti MI 48198-5753 Ph: (734) 985-7200 |
| NPI Number | 1326763079 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 10/05/2022 |
| Medicare PECOS PAC ID | 6204876113 |
|---|---|
| Medicare Enrollment ID | O20221215000645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326763079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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