| Barry-eaton District Health | |
|
1033 Healthcare Dr Charlotte MI 48813-1058 | |
| (517) 543-2430 | |
| (517) 543-2656 |
| Full Name | Barry-eaton District Health |
|---|---|
| Speciality | Public Health or Welfare |
| Location | 1033 Healthcare Dr, Charlotte, Michigan |
| Authorized Official Name and Position | Colette Scrimger (HEALTH OFFICER) |
| Authorized Official Contact | 5175412602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry-eaton District Health 1033 Healthcare Dr Charlotte MI 48813-1058 Ph: (517) 543-2430 | Barry-eaton District Health 1033 Healthcare Dr Charlotte MI 48813-1058 Ph: (517) 543-2430 |
| NPI Number | 1982768032 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Medicare PECOS PAC ID | 6800708843 |
|---|---|
| Medicare Enrollment ID | O20040913001300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982768032 | NPI | - | NPPES |
| 0P28320 | Other | MI | MEDICARE MASS IMMUNIZATION |
| 0N97350 | Other | MI | MEDICARE PTAN |
| P00297302 | Other | MI | RAILROAD RETIREMENT |
| 5100027 | Medicaid | MI | |
| 1845717 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251K00000X | Public Health Or Welfare | (* (Not Available)) | Primary |
| Provider Name | Bonnie C Miriani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932253218 PECOS PAC ID: 4284602244 Enrollment ID: I20040917001186 |
| Provider Name | Jimmie D Woodall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649566076 PECOS PAC ID: 0345479028 Enrollment ID: I20151229000408 |
| Provider Name | Julie M Kehdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194161273 PECOS PAC ID: 0345532271 Enrollment ID: I20180717000133 |
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