| Phs Of Michigan Pc | |
|
1780 E Parnall Rd Parnall Correction Facility- Medical Clinic Jackson MI 49201-7136 | |
| (517) 780-6393 | |
| Not Available |
| Full Name | Phs Of Michigan Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 1780 E Parnall Rd, Jackson, Michigan |
| Authorized Official Name and Position | Erin Cody (STATE MEDICAL DIRECTOR) |
| Authorized Official Contact | 5178273200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phs Of Michigan Pc 6452 Millennium Ste 100 Lansing MI 48917-7881 Ph: (800) 207-9419 | Phs Of Michigan Pc 1780 E Parnall Rd Parnall Correction Facility- Medical Clinic Jackson MI 49201-7136 Ph: (517) 780-6393 |
| NPI Number | 1265729883 |
|---|---|
| Provider Enumeration Date | 07/03/2011 |
| Last Update Date | 07/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265729883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4301094288 (Michigan) | Primary |
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