| Pentwater Family Practice | |
|
500 Hancock St Pentwater MI 49449-0619 | |
| (231) 869-7051 | |
| (231) 869-5536 |
| Full Name | Pentwater Family Practice |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 500 Hancock St, Pentwater, Michigan |
| Authorized Official Name and Position | Allan D. Nelson (OWNER) |
| Authorized Official Contact | 2318697051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pentwater Family Practice Po Box 619 500 Hancock St Pentwater MI 49449-0619 Ph: (231) 869-7051 | Pentwater Family Practice 500 Hancock St Pentwater MI 49449-0619 Ph: (231) 869-7051 |
| NPI Number | 1932317450 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 07/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932317450 | NPI | - | NPPES |
| 2107294 | Medicaid | MI | |
| 0640001 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 4301036682 (Michigan) | Primary |
Memorial Medical Center Of West Michigan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 N Hancock St, Pentwater, MI 49449 Phone: 231-869-7051 | |
Spectrum Health Ludington Hospital Family Medicine - Pentwater Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 N Hancock St, Pentwater, MI 49449 Phone: 231-869-7051 |