University Of Michigan Health-sparrow Ithaca Primary Care | |
114 N Main St Ithaca MI 48847 | |
(989) 875-4166 | |
(989) 875-3600 |
Full Name | University Of Michigan Health-sparrow Ithaca Primary Care |
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Speciality | Clinic/Center |
Location | 114 N Main St, Ithaca, 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 Ithaca Primary Care 8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (989) 584-3131 | University Of Michigan Health-sparrow Ithaca Primary Care 114 N Main St Ithaca MI 48847 Ph: (989) 875-4166 |
NPI Number | 1770553547 |
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Provider Enumeration Date | 01/25/2006 |
Last Update Date | 04/08/2024 |
Medicare PECOS PAC ID | 7113836701 |
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Medicare Enrollment ID | O20080520000212 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770553547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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