| Wyoming Community Health Center | |
|
2929 Burlingame Ave Sw Wyoming MI 49509-2609 | |
| (616) 965-8333 | |
| (616) 940-5820 |
| Full Name | Wyoming Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2929 Burlingame Ave Sw, Wyoming, Michigan |
| Authorized Official Name and Position | Tasha Blackmon (CEO) |
| Authorized Official Contact | 6169658200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyoming Community Health Center 100 Cherry St Se Grand Rapids MI 49503-4526 Ph: (616) 965-8200 | Wyoming Community Health Center 2929 Burlingame Ave Sw Wyoming MI 49509-2609 Ph: (616) 965-8333 |
| NPI Number | 1184974263 |
|---|---|
| Provider Enumeration Date | 09/14/2012 |
| Last Update Date | 12/29/2021 |
| Certification Date | 12/29/2021 |
| Medicare PECOS PAC ID | 6800707647 |
|---|---|
| Medicare Enrollment ID | O20121023000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184974263 | NPI | - | NPPES |
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