| Smg Ionia | |
|
550 E Washington St Ionia MI 48846-2202 | |
| (616) 523-1600 | |
| (616) 523-1601 |
| Full Name | Smg Ionia |
|---|---|
| Speciality | Clinic/Center |
| Location | 550 E Washington St, Ionia, Michigan |
| Authorized Official Name and Position | Misty Gunter Russian (SUPERVISOR, PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5172536308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smg Ionia 8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (517) 364-6200 | Smg Ionia 550 E Washington St Ionia MI 48846-2202 Ph: (616) 523-1600 |
| NPI Number | 1790980712 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 03/11/2024 |
| Medicare PECOS PAC ID | 0042118887 |
|---|---|
| Medicare Enrollment ID | O20080212000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790980712 | NPI | - | NPPES |
| 16060 | Other | MI | BCBS MI |
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