| Summit Center | |
|
279 Summit Drive Waterford MI 48328-1601 | |
| (248) 724-7600 | |
| (248) 636-4025 |
| Full Name | Summit Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 279 Summit Drive, Waterford, Michigan |
| Authorized Official Name and Position | Debra Brinson (CEO) |
| Authorized Official Contact | 2487247438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Center P.o. Box 430150 Pontiac MI 48343 Ph: (248) 724-7600 | Summit Center 279 Summit Drive Waterford MI 48328-1601 Ph: (248) 724-7600 |
| NPI Number | 1124381793 |
|---|---|
| Provider Enumeration Date | 06/19/2012 |
| Last Update Date | 01/12/2015 |
| Medicare PECOS PAC ID | 9436313004 |
|---|---|
| Medicare Enrollment ID | O20130809000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124381793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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