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52125 Industrial Dr Calumet MI 49913-9267 | |
| (906) 483-1705 | |
| (906) 372-3230 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 52125 Industrial Dr, Calumet, Michigan |
| Authorized Official Name and Position | Donald Simila (CEO) |
| Authorized Official Contact | 9064818571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
301 Explorer St Gwinn MI 49841-2813 Ph: (906) 483-1705 | 52125 Industrial Dr Calumet MI 49913-9267 Ph: (906) 483-1705 |
| NPI Number | 1871227439 |
|---|---|
| Provider Enumeration Date | 07/11/2022 |
| Last Update Date | 11/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871227439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (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 |