| Community Care Of Dowagiac | |
|
57392 M 51 S Dowagiac MI 49047-9766 | |
| (269) 462-9587 | |
| (269) 462-9589 |
| Full Name | Community Care Of Dowagiac |
|---|---|
| Speciality | Internal Medicine |
| Location | 57392 M 51 S, Dowagiac, Michigan |
| Authorized Official Name and Position | Kathleen Basha (PROVIDER) |
| Authorized Official Contact | 2694629587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Of Dowagiac Po Box 364 Dowagiac MI 49047-0364 Ph: (269) 462-9587 | Community Care Of Dowagiac 57392 M 51 S Dowagiac MI 49047-9766 Ph: (269) 462-9587 |
| NPI Number | 1427723675 |
|---|---|
| Provider Enumeration Date | 08/10/2021 |
| Last Update Date | 09/25/2023 |
| Medicare PECOS PAC ID | 4284027921 |
|---|---|
| Medicare Enrollment ID | O20220202000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427723675 | NPI | - | NPPES |
| 74575 | Medicaid | MI | |
| 4837343 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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