| Spectrum Health Ludington Hospital Family Medicine - Pentwater | |
|
500 N Hancock St Pentwater MI 49449-8935 | |
| (231) 869-7051 | |
| Not Available |
| Full Name | Spectrum Health Ludington Hospital Family Medicine - Pentwater |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 500 N Hancock St, Pentwater, Michigan |
| Authorized Official Name and Position | Randall Kelley (PRESIDENT) |
| Authorized Official Contact | 2318452384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Health Ludington Hospital Family Medicine - Pentwater 100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 Ph: () - | Spectrum Health Ludington Hospital Family Medicine - Pentwater 500 N Hancock St Pentwater MI 49449-8935 Ph: (231) 869-7051 |
| NPI Number | 1497163216 |
|---|---|
| Provider Enumeration Date | 07/24/2014 |
| Last Update Date | 03/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497163216 | 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: 500 N Hancock St, Pentwater, MI 49449 Phone: 231-869-7051 | |
Pentwater Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Hancock St, Pentwater, MI 49449 Phone: 231-869-7051 Fax: 231-869-5536 |