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14034 W Melville Rd Engadine MI 49827 | |
(906) 477-6066 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 14034 W Melville Rd, Engadine, Michigan |
Authorized Official Name and Position | Emily Emery-shea (CFO) |
Authorized Official Contact | 9062939200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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502 W Harrie St Newberry MI 49868-1209 Ph: () - | 14034 W Melville Rd Engadine MI 49827 Ph: (906) 477-6066 |
NPI Number | 1033266002 |
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Provider Enumeration Date | 01/04/2007 |
Last Update Date | 12/23/2022 |
Medicare PECOS PAC ID | 5799671285 |
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Medicare Enrollment ID | O20061122000149 |
Identifier | Type | State | Issuer |
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1033266002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |