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2776 S State Rd Ionia MI 48846-8472 | |
(616) 775-7500 | |
(616) 775-7510 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2776 S State Rd, Ionia, Michigan |
Authorized Official Name and Position | Robert Davis (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 2699451212 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 Ph: () - | 2776 S State Rd Ionia MI 48846-8472 Ph: (616) 775-7500 |
NPI Number | 1477940773 |
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Provider Enumeration Date | 04/24/2015 |
Last Update Date | 08/23/2023 |
Medicare PECOS PAC ID | 4587551015 |
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Medicare Enrollment ID | O20181001002685 |
Identifier | Type | State | Issuer |
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1477940773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Pennock Hospital Board Of Trustees Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2776 S State Rd, Ionia, MI 48846 Phone: 616-486-6790 | |
Ionia Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Lovell St, Ionia, MI 48846 Phone: 616-527-5732 Fax: 616-527-5720 | |
Adoc Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 E Lincoln Ave, Ionia, MI 48846 Phone: 616-527-2370 |