| Corewell Health Pennock Hospital Family Medicine - Gun Lake | |
|
12851 W M 179 Hwy Wayland MI 49348-9318 | |
| (877) 377-7322 | |
| Not Available |
| Full Name | Corewell Health Pennock Hospital Family Medicine - Gun Lake |
|---|---|
| Speciality | Clinic/Center |
| Location | 12851 W M 179 Hwy, Wayland, Michigan |
| Authorized Official Name and Position | John Sella (CONTROLLER) |
| Authorized Official Contact | 6168020206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corewell Health Pennock Hospital Family Medicine - Gun Lake 100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 Ph: () - | Corewell Health Pennock Hospital Family Medicine - Gun Lake 12851 W M 179 Hwy Wayland MI 49348-9318 Ph: (877) 377-7322 |
| NPI Number | 1801250907 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 4587551015 |
|---|---|
| Medicare Enrollment ID | O20180920002843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801250907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Pennock Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12851 W M 179 Hwy, Wayland, MI 49348 Phone: 877-377-7322 | |
12th Street Internal Medicine And Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3587 12th St, Wayland, MI 49348 Phone: 616-648-4933 | |
Family Physicians, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Parker Dr, Wayland, MI 49348 Phone: 616-406-7799 |