| Beacon Specialized Living Services Inc | |
|
555 Railroad St Bangor MI 49013-1464 | |
| (269) 427-8400 | |
| Not Available |
| Full Name | Beacon Specialized Living Services Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 555 Railroad St, Bangor, Michigan |
| Authorized Official Name and Position | Nathan Ratzlaff (OWNER) |
| Authorized Official Contact | 2694278400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Specialized Living Services Inc 555 Railroad St Po Box 69 Bangor MI 49013-1464 Ph: () - | Beacon Specialized Living Services Inc 555 Railroad St Bangor MI 49013-1464 Ph: (269) 427-8400 |
| NPI Number | 1215324876 |
|---|---|
| Provider Enumeration Date | 04/22/2015 |
| Last Update Date | 01/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215324876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Van Buren Cass District Health Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 803 West Arlington, Bangor Health Center, Bangor, MI 49013 Phone: 269-427-6810 | |
Bangor Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 803 West Arlington Street, Bangor, MI 49013 Phone: 269-427-6810 |