| |
550 E Washington St Ionia MI 48846-2202 | |
(616) 523-1600 | |
(616) 523-1601 |
Full Name | |
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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 |
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8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (517) 364-6200 | 550 E Washington St Ionia MI 48846-2202 Ph: (616) 523-1600 |
NPI Number | 1790980712 |
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Provider Enumeration Date | 06/19/2007 |
Last Update Date | 03/11/2024 |
Medicare PECOS PAC ID | 0042118887 |
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Medicare Enrollment ID | O20080212000376 |
Identifier | Type | State | Issuer |
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1790980712 | NPI | - | NPPES |
16060 | Other | MI | BCBS MI |
Pennock Hospital Board Of Trustees Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2776 S State Rd, Ionia, MI 48846 Phone: 616-486-6790 | |
Ionia Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Lovell St, Ionia, MI 48846 Phone: 616-527-5732 Fax: 616-527-5720 | |
Adoc Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 E Lincoln Ave, Ionia, MI 48846 Phone: 616-527-2370 |