| Covered Bridge Healthcare Of St. Joseph County Inc | |
|
658 E Main St Centreville MI 49032-9699 | |
| (269) 467-3228 | |
| Not Available |
| Full Name | Covered Bridge Healthcare Of St. Joseph County Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 658 E Main St, Centreville, Michigan |
| Authorized Official Name and Position | Richard Shaffer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2694673228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covered Bridge Healthcare Of St. Joseph County Inc 658 E Main St. Centreville MI 49032 Ph: (269) 467-3228 | Covered Bridge Healthcare Of St. Joseph County Inc 658 E Main St Centreville MI 49032-9699 Ph: (269) 467-3228 |
| NPI Number | 1063876910 |
|---|---|
| Provider Enumeration Date | 04/07/2016 |
| Last Update Date | 03/07/2017 |
| Medicare PECOS PAC ID | 6507157773 |
|---|---|
| Medicare Enrollment ID | O20160617000993 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063876910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Three Rivers Health System, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 677 E Main St Ste B, Centreville, MI 49032 Phone: 269-467-9011 Fax: 269-467-9511 | |
Three Rivers Health Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 677 E Main St Ste B, Centreville, MI 49032 Phone: 269-467-9011 Fax: 269-467-9511 |