| Upper Great Lakes Family Health Mobile Unit 1 | |
|
730 Lake Linden Ave Laurium MI 49913-2614 | |
| (906) 481-8571 | |
| (906) 483-1394 |
| Full Name | Upper Great Lakes Family Health Mobile Unit 1 |
|---|---|
| Speciality | Clinic/Center |
| Location | 730 Lake Linden Ave, Laurium, Michigan |
| Authorized Official Name and Position | Rebecca Gaffney (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 9064818585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper Great Lakes Family Health Mobile Unit 1 301 Explorer St Gwinn MI 49841-2813 Ph: (906) 483-1130 | Upper Great Lakes Family Health Mobile Unit 1 730 Lake Linden Ave Laurium MI 49913-2614 Ph: (906) 481-8571 |
| NPI Number | 1114788619 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 09/05/2024 |
| Medicare PECOS PAC ID | 1951432384 |
|---|---|
| Medicare Enrollment ID | O20240416000318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114788619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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