| Alcona Citizens For Health, Inc. | |
|
32905 W 12 Mile Rd Ste 410 Farmington Hills MI 48334-3346 | |
| (989) 736-8157 | |
| Not Available |
| Full Name | Alcona Citizens For Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 32905 W 12 Mile Rd Ste 410, Farmington Hills, Michigan |
| Authorized Official Name and Position | Christine Baumgardner (CEO) |
| Authorized Official Contact | 9893580673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alcona Citizens For Health, Inc. Po Box 655 Alpena MI 49707-0655 Ph: (989) 736-9815 | Alcona Citizens For Health, Inc. 32905 W 12 Mile Rd Ste 410 Farmington Hills MI 48334-3346 Ph: (989) 736-8157 |
| NPI Number | 1023516184 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 01/24/2018 |
| Medicare PECOS PAC ID | 5991691958 |
|---|---|
| Medicare Enrollment ID | O20180424002185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023516184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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