| Airport School District | |
|
11270 Grafton Rd Carleton MI 48117-9392 | |
| (734) 654-6205 | |
| Not Available |
| Full Name | Airport School District |
|---|---|
| Speciality | Clinic/Center |
| Location | 11270 Grafton Rd, Carleton, Michigan |
| Authorized Official Name and Position | Ed Larkins (CEO) |
| Authorized Official Contact | 7348506914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Airport School District 8765 Lewis Ave Temperance MI 48182-9583 Ph: (734) 847-3802 | Airport School District 11270 Grafton Rd Carleton MI 48117-9392 Ph: (734) 654-6205 |
| NPI Number | 1619413986 |
|---|---|
| Provider Enumeration Date | 01/11/2017 |
| Last Update Date | 02/22/2017 |
| Medicare PECOS PAC ID | 2769575653 |
|---|---|
| Medicare Enrollment ID | O20200529000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619413986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Michigan) | Primary |
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