Pine River is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Leroy, Michigan. The current practice location for Pine River is 17445 Pine River Rd, Leroy, Michigan. For appointments, you can reach them via phone at
(231) 829-3841. The mailing address for Pine River is 1615 Michigan Ave, Baldwin, Michigan and phone number is (231) 745-2743.
Pine River is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1700329521. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(231) 829-3841.
Primary Care Clinic Profile
| Full Name | Pine River |
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| Speciality | Clinic/Center |
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| Location | 17445 Pine River Rd, Leroy, Michigan |
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| Authorized Official Name and Position | Julie Tatko (CEO) |
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| Authorized Official Contact | 2317452743 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Pine River
1615 Michigan Ave
Baldwin
MI 49304-7984
Ph: (231) 745-2743 | Pine River
17445 Pine River Rd
Leroy
MI 49655
Ph: (231) 829-3841 |
NPI Details:
| NPI Number | 1700329521 |
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| Provider Enumeration Date | 11/28/2016 |
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| Last Update Date | 11/12/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1153215413 |
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| Medicare Enrollment ID | O20170117000682 |
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Medical Identifiers
Medical identifiers for Pine River such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700329521 | NPI | - | NPPES |
| 0D36000 | Other | MI | BCBS GROUP ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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