Harbor Hall, Inc. | |
302 Orchard Ridge Dr Petoskey MI 49770-8414 | |
(231) 347-9880 | |
Not Available |
Full Name | Harbor Hall, Inc. |
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Speciality | Family Medicine |
Location | 302 Orchard Ridge Dr, Petoskey, Michigan |
Authorized Official Name and Position | Patrick Michael Mcginn (CEO) |
Authorized Official Contact | 2313475511 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Harbor Hall, Inc. 704 Emmet St Petoskey MI 49770-2910 Ph: () - | Harbor Hall, Inc. 302 Orchard Ridge Dr Petoskey MI 49770-8414 Ph: (231) 347-9880 |
NPI Number | 1851865638 |
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Provider Enumeration Date | 01/15/2019 |
Last Update Date | 03/23/2025 |
Medicare PECOS PAC ID | 8123453065 |
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Medicare Enrollment ID | O20200122002826 |
Identifier | Type | State | Issuer |
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1851865638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Martin P Jankowski |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790834943 PECOS PAC ID: 0244206076 Enrollment ID: I20040902001385 |
Provider Name | Stephanie C Veling |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225046295 PECOS PAC ID: 7911001813 Enrollment ID: I20070403000179 |
Provider Name | Michelle Beigle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346625738 PECOS PAC ID: 9335457191 Enrollment ID: I20150929001461 |
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