Packard Health, Inc. | |
200 Arnet St Ypsilanti MI 48198-5753 | |
(734) 985-7200 | |
(734) 975-8953 |
Full Name | Packard Health, Inc. |
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Speciality | Clinic/Center |
Location | 200 Arnet St, Ypsilanti, Michigan |
Authorized Official Name and Position | Todd 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) 926-4935 | Packard Health, Inc. 200 Arnet St Ypsilanti MI 48198-5753 Ph: (734) 985-7200 |
NPI Number | 1962879890 |
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Provider Enumeration Date | 08/26/2015 |
Last Update Date | 12/17/2020 |
Medicare PECOS PAC ID | 6204876113 |
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Medicare Enrollment ID | O20151015001833 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962879890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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