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56720 Calumet Ave Ste B Calumet MI 49913-1967 | |
(906) 481-8952 | |
(906) 337-4049 |
Full Name | |
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Speciality | Clinic/Center |
Location | 56720 Calumet Ave Ste B, Calumet, Michigan |
Authorized Official Name and Position | Monica Bowman (PRESIDENT) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | 56720 Calumet Ave Ste B Calumet MI 49913-1967 Ph: (906) 481-8952 |
NPI Number | 1164106910 |
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Provider Enumeration Date | 06/12/2023 |
Last Update Date | 10/12/2023 |
Medicare PECOS PAC ID | 6103053509 |
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Medicare Enrollment ID | O20231018001783 |
Identifier | Type | State | Issuer |
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1164106910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Keweenaw Holistic Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56611 Calumet Ave, Calumet, MI 49913 Phone: 906-337-1844 | |