| Deckerville Community Hospital, Inc. | |
| 
					2030 Black River St Deckerville MI 48427-9440  | |
| (810) 376-2885 | |
| Not Available | 
| Full Name | Deckerville Community Hospital, Inc. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 2030 Black River St, Deckerville, Michigan | 
| Authorized Official Name and Position | Kimberly Gentner (CFO) | 
| Authorized Official Contact | 8103762835 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Deckerville Community Hospital, Inc. 2433 Black River St Deckerville MI 48427-9425 Ph: (810) 376-2885  | Deckerville Community Hospital, Inc. 2030 Black River St Deckerville MI 48427-9440 Ph: (810) 376-2885  | 
| NPI Number | 1780011247 | 
|---|---|
| Provider Enumeration Date | 09/30/2013 | 
| Last Update Date | 09/02/2025 | 
| Medicare PECOS PAC ID | 2163508821 | 
|---|---|
| Medicare Enrollment ID | O20130904000878 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780011247 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary | 
Deckerville Community Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3532 Main St, Deckerville, MI 48427 Phone: 810-376-3100 Fax: 810-376-8311  | |
Deckerville Community Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2030 Black River St, Deckerville, MI 48427 Phone: 810-376-2835  | |
Levi L. Guerrero, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3532 Main St, Deckerville, MI 48427 Phone: 810-376-3100  |