| Hannahville Health Center Pharmacy | |
|
N15019 Hannahville B-1 Rd Wilson MI 49896 | |
| (906) 466-9201 | |
| (906) 466-7454 |
| Full Name | Hannahville Health Center Pharmacy |
|---|---|
| Speciality | Clinic/center |
| Location | N15019 Hannahville B-1 Rd, Wilson, Michigan |
| Authorized Official Name and Position | Linda Triest (BUSINESS OFFICE SUPERVISOR) |
| Authorized Official Contact | 9064669212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hannahville Health Center Pharmacy N15019 Hannahville B-1 Rd Wilson MI 49896 Ph: (906) 466-9201 | Hannahville Health Center Pharmacy N15019 Hannahville B-1 Rd Wilson MI 49896 Ph: (906) 466-9201 |
| NPI Number | 1467551291 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467551291 | NPI | - | NPPES |
| 3318829 | Medicaid | MI | |
| 2356702 | Other | NCPCP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5301006526 (Michigan) | Primary |
Hannahville Indian Community Primary Care Clinic Medicare: Medicare Enrolled Practice Location: N15019 Hannahville B1 Rd, Wilson, MI 49896 Phone: 906-466-2782 Fax: 906-466-7454 |