| Apple Family Medicine, P.l.c. | |
|
1042 S Ravenna Rd Ravenna MI 49451 | |
| (517) 420-6817 | |
| Not Available |
| Full Name | Apple Family Medicine, P.l.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1042 S Ravenna Rd, Ravenna, Michigan |
| Authorized Official Name and Position | Bonnie Jean Pline (SOLE MEMBER) |
| Authorized Official Contact | 5174206817 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apple Family Medicine, P.l.c. 1042 S Ravenna Rd Ravenna MI 49451 Ph: (517) 420-6817 | Apple Family Medicine, P.l.c. 1042 S Ravenna Rd Ravenna MI 49451 Ph: (517) 420-6817 |
| NPI Number | 1417279407 |
|---|---|
| Provider Enumeration Date | 02/18/2010 |
| Last Update Date | 02/18/2010 |
| Medicare PECOS PAC ID | 8527250620 |
|---|---|
| Medicare Enrollment ID | O20101007000884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417279407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 5101017025 (Michigan) | Primary |
| Provider Name | Kyle Stanley Pline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487791448 PECOS PAC ID: 2668573643 Enrollment ID: I20070720000190 |
| Provider Name | Bonnie Jean Pline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508084310 PECOS PAC ID: 0042402158 Enrollment ID: I20101007000938 |
Hackley Community Care Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 S Ravenna Rd Rm A101, Ravenna, MI 49451 Phone: 231-737-1335 | |
Ravenna Family Practice, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12520 Crockery Creek Dr., Ravenna, MI 49451 Phone: 231-853-2954 Fax: 231-853-6089 |