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6190 Hospital Dr Suite 103 Cass City MI 48726-1072 | |
(989) 872-8503 | |
(989) 872-1546 |
Full Name | |
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Speciality | Clinic/Center |
Location | 6190 Hospital Dr, Cass City, Michigan |
Authorized Official Name and Position | Ken Baranski (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 9899126225 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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6190 Hospital Dr Suite 103 Cass City MI 48726-1072 Ph: (989) 872-8503 | 6190 Hospital Dr Suite 103 Cass City MI 48726-1072 Ph: (989) 872-8503 |
NPI Number | 1487873501 |
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Provider Enumeration Date | 04/25/2007 |
Last Update Date | 03/14/2014 |
Medicare PECOS PAC ID | 8022910363 |
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Medicare Enrollment ID | O20050915000074 |
Identifier | Type | State | Issuer |
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1487873501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |