| Cheboygan Intermediate School | |
|
905 W Lincoln Ave Cheboygan MI 49721-1858 | |
| (989) 354-2197 | |
| (989) 356-6524 |
| Full Name | Cheboygan Intermediate School |
|---|---|
| Speciality | Clinic/Center |
| Location | 905 W Lincoln Ave, Cheboygan, Michigan |
| Authorized Official Name and Position | Doug Kreis (CEO) |
| Authorized Official Contact | 9897424583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheboygan Intermediate School Po Box 427 Hillman MI 49746-0427 Ph: (989) 354-2197 | Cheboygan Intermediate School 905 W Lincoln Ave Cheboygan MI 49721-1858 Ph: (989) 354-2197 |
| NPI Number | 1306244108 |
|---|---|
| Provider Enumeration Date | 12/10/2014 |
| Last Update Date | 07/30/2026 |
| Certification Date | 07/30/2026 |
| Medicare PECOS PAC ID | 0143296772 |
|---|---|
| Medicare Enrollment ID | O20150216001765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306244108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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