| Thornapple Valley Family Physicians Pc | |
|
1005 W Green St Hastings MI 49058-1712 | |
| (269) 948-8057 | |
| (269) 948-8964 |
| Full Name | Thornapple Valley Family Physicians Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1005 W Green St, Hastings, Michigan |
| Authorized Official Name and Position | Diane B Ebaugh (PRESIDENT) |
| Authorized Official Contact | 2699488057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thornapple Valley Family Physicians Pc 1005 W Green St Hastings MI 49058-1712 Ph: (269) 948-8057 | Thornapple Valley Family Physicians Pc 1005 W Green St Hastings MI 49058-1712 Ph: (269) 948-8057 |
| NPI Number | 1528268513 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 04/27/2009 |
| Medicare PECOS PAC ID | 5698823250 |
|---|---|
| Medicare Enrollment ID | O20090508000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528268513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301046093 (Michigan) | Primary |
| Provider Name | Diane Barbara Ebaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215997796 PECOS PAC ID: 9335297993 Enrollment ID: I20090508000347 |
| Provider Name | Sarah Verburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689773301 PECOS PAC ID: 6002086519 Enrollment ID: I20110818000721 |
| Provider Name | Tiffany R Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093066086 PECOS PAC ID: 9335376946 Enrollment ID: I20131205000687 |
| Provider Name | Diana C Diemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104313436 PECOS PAC ID: 7719232057 Enrollment ID: I20180611000269 |
Pennock Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 W Green St, Hastings, MI 49058 Phone: 269-945-8080 | |
Corewell Health Medical Group West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Cook Rd, Hastings, MI 49058 Phone: 616-267-7104 | |
James L Weatherhead Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 W Green St, Suite G100, Hastings, MI 49058 Phone: 269-948-7820 Fax: 269-948-2458 | |
Pennock Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 W Green St, Hastings, MI 49058 Phone: 269-948-8411 Fax: 269-948-9874 | |
Corewell Health Pennock Hospital Family Medicine - State St Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1108 W State St, Suite 3, Hastings, MI 49058 Phone: 269-945-0922 | |
Thomas M Hoffman, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 S M 37 Hwy Ste 2, Hastings, MI 49058 Phone: 269-945-3401 Fax: 269-945-2760 | |
Pennock Hospital Board Of Trustees Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 W State St, Hastings, MI 49058 Phone: 269-945-8080 |