| Red Arrow Medical Clinic Pc | |
|
6572 Red Arrow Hwy Coloma MI 49038-8700 | |
| (269) 605-9453 | |
| (765) 964-4300 |
| Full Name | Red Arrow Medical Clinic Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6572 Red Arrow Hwy, Coloma, Michigan |
| Authorized Official Name and Position | Aurora B Madanguit (PRESIDENT) |
| Authorized Official Contact | 7659644100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Arrow Medical Clinic Pc Po Box 443 Union City IN 47390-0443 Ph: (765) 964-4100 | Red Arrow Medical Clinic Pc 6572 Red Arrow Hwy Coloma MI 49038-8700 Ph: (269) 605-9453 |
| NPI Number | 1881837102 |
|---|---|
| Provider Enumeration Date | 04/16/2009 |
| Last Update Date | 07/16/2009 |
| Medicare PECOS PAC ID | 2567512742 |
|---|---|
| Medicare Enrollment ID | O20090609000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881837102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L1470900 (Michigan) | Primary |
| Provider Name | Aurora Madanguit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619902855 PECOS PAC ID: 4789674193 Enrollment ID: I20040517001206 |
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