| Prime Medical Health Care Pc | |
|
16184 E 10 Mile Rd Ste 101 Eastpointe MI 48021 | |
| (586) 779-4550 | |
| (586) 779-4551 |
| Full Name | Prime Medical Health Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 16184 E 10 Mile Rd Ste 101, Eastpointe, Michigan |
| Authorized Official Name and Position | Nwanneka Uchenna Odumodu (PRESIDENT) |
| Authorized Official Contact | 7342767239 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Medical Health Care Pc 1948 Harley Ct Ann Arbor MI 48103-8980 Ph: (734) 276-7239 | Prime Medical Health Care Pc 16184 E 10 Mile Rd Ste 101 Eastpointe MI 48021 Ph: (586) 779-4550 |
| NPI Number | 1023075744 |
|---|---|
| Provider Enumeration Date | 04/27/2006 |
| Last Update Date | 05/22/2018 |
| Medicare PECOS PAC ID | 4183636871 |
|---|---|
| Medicare Enrollment ID | O20060621000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023075744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0776377 (Michigan) | Primary |
| Provider Name | Nwanneka U Odumodu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619934320 PECOS PAC ID: 8921026394 Enrollment ID: I20051103000851 |
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