Shoreline Family Medicine Pc | |
5933 Grand Haven Rd Muskegon MI 49441-6011 | |
(231) 799-3300 | |
(231) 799-3322 |
Full Name | Shoreline Family Medicine Pc |
---|---|
Speciality | Family Medicine |
Location | 5933 Grand Haven Rd, Muskegon, Michigan |
Authorized Official Name and Position | Matthew N. Powell (PHYSICIAN) |
Authorized Official Contact | 2317803300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Shoreline Family Medicine Pc 5933 Grand Haven Rd Muskegon MI 49441-6011 Ph: (231) 799-3300 | Shoreline Family Medicine Pc 5933 Grand Haven Rd Muskegon MI 49441-6011 Ph: (231) 799-3300 |
NPI Number | 1417094459 |
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Provider Enumeration Date | 01/31/2007 |
Last Update Date | 05/05/2008 |
Medicare PECOS PAC ID | 7012013162 |
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Medicare Enrollment ID | O20070507000116 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417094459 | NPI | - | NPPES |
5610080 | Other | MI | BLUE CROSS |
4309931 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101013736 (Michigan) | Primary |
Provider Name | Matthew N Powell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154316222 PECOS PAC ID: 9537147665 Enrollment ID: I20040713001320 |
Hackley Community Care Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 E Laketon Ave Ste A, Muskegon, MI 49441 Phone: 231-737-1335 | |
Hpcn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 986 W Norton Ave, Muskegon, MI 49441 Phone: 231-737-2194 Fax: 231-737-4524 | |