| Corewell Health Pennock Hospital Family Medicine - Middleville | |
|
490 Edward St Middleville MI 49333-9131 | |
| (269) 795-4434 | |
| (269) 795-4271 |
| Full Name | Corewell Health Pennock Hospital Family Medicine - Middleville |
|---|---|
| Speciality | Clinic/Center |
| Location | 490 Edward St, Middleville, 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 - Middleville 100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 Ph: () - | Corewell Health Pennock Hospital Family Medicine - Middleville 490 Edward St Middleville MI 49333-9131 Ph: (269) 795-4434 |
| NPI Number | 1013453760 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 4587551015 |
|---|---|
| Medicare Enrollment ID | O20180920002249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013453760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Middleville Doctors, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4695 N M 37 Hwy, Middleville, MI 49333 Phone: 269-795-3315 Fax: 269-795-3542 | |
Pennock Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 490 Edward St, Middleville, MI 49333 Phone: 269-795-4434 |