| Tri-city Treatment Center Llc | |
|
355 N Center Rd Saginaw MI 48638-5849 | |
| (989) 401-8916 | |
| Not Available |
| Full Name | Tri-city Treatment Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 355 N Center Rd, Saginaw, Michigan |
| Authorized Official Name and Position | Kristin Mae Mendyk (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 9894018916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-city Treatment Center Llc 355 N Center Rd Saginaw MI 48638-5849 Ph: (989) 798-3036 | Tri-city Treatment Center Llc 355 N Center Rd Saginaw MI 48638-5849 Ph: (989) 401-8916 |
| NPI Number | 1205484052 |
|---|---|
| Provider Enumeration Date | 08/26/2019 |
| Last Update Date | 09/20/2019 |
| Medicare PECOS PAC ID | 0547591406 |
|---|---|
| Medicare Enrollment ID | O20191008003209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205484052 | NPI | - | NPPES |
| Provider Name | Rudolph C Hatfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235115171 PECOS PAC ID: 9032185913 Enrollment ID: I20040902000972 |
| Provider Name | Michael Takashi Okumura |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1720006224 PECOS PAC ID: 8325012446 Enrollment ID: I20081027000766 |
| Provider Name | Debbie M Mathewson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295975530 PECOS PAC ID: 6709006141 Enrollment ID: I20141006002385 |
| Provider Name | Cori C Wirth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275121675 PECOS PAC ID: 1456769660 Enrollment ID: I20210427002245 |
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