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921 W Sharon Ave Houghton MI 49931-1921 | |
(906) 483-1777 | |
(906) 483-4616 |
Full Name | |
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Speciality | Clinic/Center |
Location | 921 W Sharon Ave, Houghton, Michigan |
Authorized Official Name and Position | Monica Bowman (PRESIDENT) |
Authorized Official Contact | 6159207208 |
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 | 921 W Sharon Ave Houghton MI 49931-1921 Ph: (906) 483-1777 |
NPI Number | 1376229419 |
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Provider Enumeration Date | 06/23/2023 |
Last Update Date | 06/23/2023 |
Medicare PECOS PAC ID | 6103053509 |
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Medicare Enrollment ID | O20230718000527 |
Identifier | Type | State | Issuer |
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1376229419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Upper Great Lakes Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 W Sharon Ave, Houghton, MI 49931 Phone: 906-346-9667 Fax: 906-346-9113 | |