| Bcbs 3100 Port Sheldon | |
|
3100 Port Sheldon St Hudsonville MI 49426-9094 | |
| (616) 669-6160 | |
| (616) 669-0666 |
| Full Name | Bcbs 3100 Port Sheldon |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3100 Port Sheldon St, Hudsonville, Michigan |
| Authorized Official Name and Position | Gerard Cyranowski (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6163935649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bcbs 3100 Port Sheldon 12265 James St Holland MI 49424-8613 Ph: (616) 393-5641 | Bcbs 3100 Port Sheldon 3100 Port Sheldon St Hudsonville MI 49426-9094 Ph: (616) 669-6160 |
| NPI Number | 1548339773 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548339773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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