| Community Life Medical Pllc | |
|
910 E Lincoln Ave Ionia MI 48846-1393 | |
| (616) 527-2370 | |
| (616) 527-3824 |
| Full Name | Community Life Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 910 E Lincoln Ave, Ionia, Michigan |
| Authorized Official Name and Position | Sheila M Gendich (OWNER) |
| Authorized Official Contact | 6165272370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Life Medical Pllc 910 E Lincoln Ave Ionia MI 48846-1393 Ph: (616) 527-2370 | Community Life Medical Pllc 910 E Lincoln Ave Ionia MI 48846-1393 Ph: (616) 527-2370 |
| NPI Number | 1629737838 |
|---|---|
| Provider Enumeration Date | 12/15/2021 |
| Last Update Date | 12/15/2021 |
| Medicare PECOS PAC ID | 2668867508 |
|---|---|
| Medicare Enrollment ID | O20220311001253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629737838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sheila M Gendich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124018536 PECOS PAC ID: 6901819481 Enrollment ID: I20060731000131 |
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