| Riverwood Family Medicine Pc | |
|
3299 Clear Vista Ct Ne Suite C Grand Rapids MI 49525-9477 | |
| (616) 361-1200 | |
| (616) 361-2198 |
| Full Name | Riverwood Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3299 Clear Vista Ct Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Randall N Clark (VICE PRESIDENT) |
| Authorized Official Contact | 6163611178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverwood Family Medicine Pc 3299 Clear Vista Ct Ne Suite C Grand Rapids MI 49525-9477 Ph: (616) 361-1200 | Riverwood Family Medicine Pc 3299 Clear Vista Ct Ne Suite C Grand Rapids MI 49525-9477 Ph: (616) 361-1200 |
| NPI Number | 1972677656 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 04/21/2011 |
| Medicare PECOS PAC ID | 7911930060 |
|---|---|
| Medicare Enrollment ID | O20050919000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972677656 | NPI | - | NPPES |
| 080D148480 | Other | MI | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Randall N Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063573319 PECOS PAC ID: 8022042068 Enrollment ID: I20050922000756 |
| Provider Name | Mark A Fredrickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356426712 PECOS PAC ID: 9739113770 Enrollment ID: I20050922000802 |
Gastroenterology Specialist Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1179 E Paris Ave Se Ste 200, Grand Rapids, MI 49546 Phone: 616-975-9100 Fax: 616-975-1161 | |
Mfb Professional Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 E. Paris, Ste 200, Grand Rapids, MI 49546 Phone: 616-233-3480 Fax: 616-233-3481 | |
American Current Care Of Michigan Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 933 Three Mile Road, Suite 110, Grand Rapids, MI 49544 Phone: 616-785-2619 Fax: 616-785-2623 | |
Patient One Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 28th St Se, Grand Rapids, MI 49508 Phone: 616-323-3999 Fax: 616-552-1618 | |
Elite Health, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Fulton St E, Suite A, Grand Rapids, MI 49503 Phone: 616-644-1423 Fax: 616-773-1291 | |
Cherry Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Cherry St Se, Grand Rapids, MI 49503 Phone: 616-965-8200 | |
Dr Asif Azeem Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 East Paris Ave Se, Ste 8, Grand Rapids, MI 49546 Phone: 616-942-6230 Fax: 616-942-6270 |