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15044 220th Ave Big Rapids MI 49307-9248 | |
| (231) 527-7150 | |
| (231) 796-4109 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 15044 220th Ave, Big Rapids, Michigan |
| Authorized Official Name and Position | Julie Tatko (CEO) |
| Authorized Official Contact | 2317455482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
520 Cobb St Cadillac MI 49601-2588 Ph: (231) 876-6527 | 15044 220th Ave Big Rapids MI 49307-9248 Ph: (231) 527-7150 |
| NPI Number | 1275340010 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 12/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275340010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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