| County Of Kent | |
|
700 Fuller Ave Ne Grand Rapids MI 49503-1918 | |
| (616) 632-7120 | |
| (616) 632-7083 |
| Full Name | County Of Kent |
|---|---|
| Speciality | Public Health or Welfare |
| Location | 700 Fuller Ave Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Kevin Bakos (FINANCE SUPERVISOR) |
| Authorized Official Contact | 6166327244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Kent 700 Fuller Ave Ne Grand Rapids MI 49503-1918 Ph: (616) 632-7120 | County Of Kent 700 Fuller Ave Ne Grand Rapids MI 49503-1918 Ph: (616) 632-7120 |
| NPI Number | 1194855155 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 02/28/2018 |
| Medicare PECOS PAC ID | 1850572330 |
|---|---|
| Medicare Enrollment ID | O20110217000366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194855155 | NPI | - | NPPES |
| 1845806 | Medicaid | MI | |
| 4529013 | Medicaid | MI | |
| 2674614 | Medicaid | MI |
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