Thomas Family Practice Pc | |
1250 Columbia Ave E Suite A Battle Creek MI 49014-5159 | |
(269) 883-6049 | |
Not Available |
Full Name | Thomas Family Practice Pc |
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Speciality | Family Medicine |
Location | 1250 Columbia Ave E, Battle Creek, Michigan |
Authorized Official Name and Position | Allison Sue Thomas (PRESIDENT) |
Authorized Official Contact | 2698836049 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thomas Family Practice Pc 1250 Columbia Ave E Suite A Battle Creek MI 49014-5159 Ph: () - | Thomas Family Practice Pc 1250 Columbia Ave E Suite A Battle Creek MI 49014-5159 Ph: (269) 883-6049 |
NPI Number | 1164835328 |
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Provider Enumeration Date | 06/05/2014 |
Last Update Date | 06/05/2014 |
Medicare PECOS PAC ID | 9739303934 |
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Medicare Enrollment ID | O20140609001910 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164835328 | NPI | - | NPPES |
0N25600002 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Allison S Thomas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386687028 PECOS PAC ID: 9234289331 Enrollment ID: I20090611000412 |
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