| Summit Health Pointe Llc | |
|
21840 23 Mile Rd Macomb MI 48042-4422 | |
| (586) 213-1492 | |
| Not Available |
| Full Name | Summit Health Pointe Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 21840 23 Mile Rd, Macomb, Michigan |
| Authorized Official Name and Position | Zaid Aljahmi (PRESIDENT) |
| Authorized Official Contact | 3138187965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Health Pointe Llc 21840 23 Mile Rd Macomb MI 48042-4422 Ph: (313) 818-7965 | Summit Health Pointe Llc 21840 23 Mile Rd Macomb MI 48042-4422 Ph: (586) 213-1492 |
| NPI Number | 1407594245 |
|---|---|
| Provider Enumeration Date | 05/23/2022 |
| Last Update Date | 06/08/2022 |
| Medicare PECOS PAC ID | 4082095104 |
|---|---|
| Medicare Enrollment ID | O20220721000973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407594245 | NPI | - | NPPES |
| 1679815112 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Fatima Abdallah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831783695 PECOS PAC ID: 7315341427 Enrollment ID: I20210811004356 |
| Provider Name | Christina C Leigh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104417666 PECOS PAC ID: 2668877127 Enrollment ID: I20210820001752 |
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