| Spectrum Health Ludington Hospital Family Medicine - Hart | |
|
2481 N 72nd Ave Hart MI 49420-8008 | |
| (231) 873-2163 | |
| (231) 873-2143 |
| Full Name | Spectrum Health Ludington Hospital Family Medicine - Hart |
|---|---|
| Speciality | Clinic/Center |
| Location | 2481 N 72nd Ave, Hart, Michigan |
| Authorized Official Name and Position | John Sella (PESIDENT) |
| Authorized Official Contact | 6168020206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Health Ludington Hospital Family Medicine - Hart 100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 Ph: () - | Spectrum Health Ludington Hospital Family Medicine - Hart 2481 N 72nd Ave Hart MI 49420-8008 Ph: (231) 873-2163 |
| NPI Number | 1861800674 |
|---|---|
| Provider Enumeration Date | 07/24/2014 |
| Last Update Date | 08/22/2023 |
| Medicare PECOS PAC ID | 3678543659 |
|---|---|
| Medicare Enrollment ID | O20141212001020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861800674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Memorial Medical Center Of West Michigan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2481 N 72nd Ave, Hart, MI 49420 Phone: 231-873-2163 | |
Trinity Health Medical Group Primary Care Hart Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 E Main St, Hart, MI 49420 Phone: 231-873-5675 Fax: 231-873-1825 |