| Gogebic County Mental Health Authority | |
|
103 W Us Highway 2 Wakefield MI 49968-9515 | |
| (906) 229-6100 | |
| (906) 229-6191 |
| Full Name | Gogebic County Mental Health Authority |
|---|---|
| Speciality | Family Medicine |
| Location | 103 W Us Highway 2, Wakefield, Michigan |
| Authorized Official Name and Position | Tess Greenough (CEO) |
| Authorized Official Contact | 9062296100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gogebic County Mental Health Authority 103 W Us Highway 2 Wakefield MI 49968-9515 Ph: (906) 229-6100 | Gogebic County Mental Health Authority 103 W Us Highway 2 Wakefield MI 49968-9515 Ph: (906) 229-6100 |
| NPI Number | 1427378009 |
|---|---|
| Provider Enumeration Date | 06/07/2010 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427378009 | NPI | - | NPPES |
| 1708119 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Gogebic County Community Mental Health Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 W Us Highway 2, Wakefield, MI 49968 Phone: 906-229-6100 Fax: 906-229-6191 | |
Gogebic County Community Mental Health Authority Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 103 W Us Highway 2, Wakefield, MI 49968 Phone: 906-229-6100 Fax: 906-229-6191 |