| Capac Medical Center Pc | |
|
4316 Capac Road Capac MI 48014 | |
| (810) 395-4375 | |
| (810) 395-4238 |
| Full Name | Capac Medical Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4316 Capac Road, Capac, Michigan |
| Authorized Official Name and Position | Philip Milan Matich (PRESIDENT OWNER) |
| Authorized Official Contact | 8103954375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capac Medical Center Pc 4316 Capac Road Capac MI 48014 Ph: (810) 395-4375 | Capac Medical Center Pc 4316 Capac Road Capac MI 48014 Ph: (810) 395-4375 |
| NPI Number | 1366509523 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366509523 | NPI | - | NPPES |
| 1909485 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | PM 406642 (Michigan) | Primary |
Capac Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14960 E Park St, Capac, MI 48014 Phone: 810-310-1783 | |
Family First Health Care Capac Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 S Main St, Capac, MI 48014 Phone: 810-395-4840 Fax: 810-395-7551 |