Three Rivers Health Family Care White Pigeon | |
601 E Chicago Rd White Pigeon MI 49099-9731 | |
(269) 483-7624 | |
(269) 483-7905 |
Full Name | Three Rivers Health Family Care White Pigeon |
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Speciality | Clinic/Center |
Location | 601 E Chicago Rd, White Pigeon, Michigan |
Authorized Official Name and Position | Jeffery Costello (CFO) |
Authorized Official Contact | 5746473460 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Three Rivers Health Family Care White Pigeon 3245 Health Dr Ste 100 Ste 100 Granger IN 46530-1380 Ph: () - | Three Rivers Health Family Care White Pigeon 601 E Chicago Rd White Pigeon MI 49099-9731 Ph: (269) 483-7624 |
NPI Number | 1720350903 |
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Provider Enumeration Date | 02/02/2012 |
Last Update Date | 09/18/2023 |
Medicare PECOS PAC ID | 8729245584 |
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Medicare Enrollment ID | O20120216000326 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720350903 | NPI | - | NPPES |
1720350903 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Three Rivers Health Family Care White Pigeon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 S Kalamazoo St, White Pigeon, MI 49099 Phone: 269-483-7624 Fax: 269-483-7905 |