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5656 W Us Highway 10 Ludington MI 49431-2454 | |
(231) 843-2543 | |
(231) 843-2547 |
Full Name | |
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Speciality | Clinic/Center |
Location | 5656 W Us Highway 10, Ludington, Michigan |
Authorized Official Name and Position | Daniel Green (VICE PRESIDENT FINANCE GRAND RAPIDS) |
Authorized Official Contact | 6166856709 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 932988 Cleveland OH 44193-0029 Ph: (800) 494-5797 | 5656 W Us Highway 10 Ludington MI 49431-2454 Ph: (231) 843-2543 |
NPI Number | 1518385806 |
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Provider Enumeration Date | 04/03/2014 |
Last Update Date | 10/10/2024 |
Medicare PECOS PAC ID | 1456430016 |
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Medicare Enrollment ID | O20140620000703 |
Identifier | Type | State | Issuer |
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1518385806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Spectrum Health Primary Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 922 Lawndale St, Ludington, MI 49431 Phone: 231-845-7380 | |
New Life Medical Senior Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 S Wildwood Xing Apt 20, Ludington, MI 49431 Phone: 231-233-1704 | |