University Of Michigan Health-sparrow Portland Primary Care | |
9751 E Grand River Ave Portland MI 48875-9774 | |
(517) 647-6722 | |
(517) 647-6838 |
Full Name | University Of Michigan Health-sparrow Portland Primary Care |
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Speciality | Clinic/Center |
Location | 9751 E Grand River Ave, Portland, 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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University Of Michigan Health-sparrow Portland Primary Care 8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (616) 523-1400 | University Of Michigan Health-sparrow Portland Primary Care 9751 E Grand River Ave Portland MI 48875-9774 Ph: (517) 647-6722 |
NPI Number | 1295801108 |
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Provider Enumeration Date | 11/24/2006 |
Last Update Date | 03/11/2024 |
Medicare PECOS PAC ID | 0042118887 |
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Medicare Enrollment ID | O20090219000238 |
Identifier | Type | State | Issuer |
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1295801108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | 238631 (Michigan) | Primary |
Ohana Medical Group Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1218 E Grand River Ave, Portland, MI 48875 Phone: 517-732-8877 Fax: 517-659-6376 | |
Mclaren Central Michigan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Kent St, Portland, MI 48875 Phone: 517-647-4166 Fax: 517-647-2473 | |
Fhc-portland Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9751 E Grand River Ave, Portland, MI 48875 Phone: 517-647-6722 Fax: 517-647-6838 |