Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 230 W Oak St, Fremont, Michigan |
Authorized Official Name and Position | Pauline Krywanski (SVP, FINANCE) |
Authorized Official Contact | 6164862253 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 Ph: (616) 486-6790 | 230 W Oak St Fremont MI 49412-1526 Ph: (231) 924-4200 |
NPI Number | 1912320904 |
---|---|
Provider Enumeration Date | 01/27/2014 |
Last Update Date | 01/27/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912320904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mobile Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 E Main St, Fremont, MI 49412 Phone: 231-924-0244 Fax: 231-924-4882 | |
Pine Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 Fax: 231-924-2027 | |
Spectrum Health Hospitals Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 616-267-9823 | |
Pine Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 Fax: 231-924-2027 |