| Bhg Medical Services - Michigan | |
|
913 W Holmes Rd Ste 189 Obot Room #100 Lansing MI 48910-0434 | |
| (517) 272-4357 | |
| (989) 272-4358 |
| Full Name | Bhg Medical Services - Michigan |
|---|---|
| Speciality | Clinic/Center |
| Location | 913 W Holmes Rd Ste 189, Lansing, Michigan |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhg Medical Services - Michigan 5001 Spring Valley Road Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | Bhg Medical Services - Michigan 913 W Holmes Rd Ste 189 Obot Room #100 Lansing MI 48910-0434 Ph: (517) 272-4357 |
| NPI Number | 1518677525 |
|---|---|
| Provider Enumeration Date | 11/30/2022 |
| Last Update Date | 01/12/2023 |
| Certification Date | 01/12/2023 |
| Medicare PECOS PAC ID | 7719347384 |
|---|---|
| Medicare Enrollment ID | O20230713002760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518677525 | NPI | - | NPPES |
| Provider Name | Michael Takashi Okumura |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1720006224 PECOS PAC ID: 8325012446 Enrollment ID: I20081027000766 |
| Provider Name | Lilian Kigonya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932375110 PECOS PAC ID: 4284788654 Enrollment ID: I20230711003574 |
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