| Primary Health Services Pc | |
|
505 W Ludington Ave Ludington MI 49431-2029 | |
| (231) 843-8452 | |
| Not Available |
| Full Name | Primary Health Services Pc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 505 W Ludington Ave, Ludington, Michigan |
| Authorized Official Name and Position | Bradley L Bliss (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 2318438452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Health Services Pc 505 W Ludington Ave Ludington MI 49431-2029 Ph: (231) 843-8452 | Primary Health Services Pc 505 W Ludington Ave Ludington MI 49431-2029 Ph: (231) 843-8452 |
| NPI Number | 1578676441 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 09/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578676441 | NPI | - | NPPES |
| 104694643 | Medicaid | MI | |
| 010E310070 | Other | MI | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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