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639 E Main St Carson City MI 48811-9795 | |
(989) 584-3107 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 639 E Main St, Carson City, 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: (989) 584-0105 | 639 E Main St Carson City MI 48811-9795 Ph: (989) 584-3107 |
NPI Number | 1699200550 |
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Provider Enumeration Date | 04/27/2017 |
Last Update Date | 04/08/2024 |
Medicare PECOS PAC ID | 7113836701 |
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Medicare Enrollment ID | O20170605000135 |
Identifier | Type | State | Issuer |
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1699200550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Carson City Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 E Elm St, Carson City, MI 48811 Phone: 989-584-3131 Fax: 989-584-3729 | |
Clinton County Medical Center Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10673 E Carson City Rd, Carson City, MI 48811 Phone: 989-224-3000 Fax: 989-668-0423 | |
Sparrow Carson Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Elm St, Carson City, MI 48811 Phone: 989-584-6217 Fax: 989-584-3427 | |