| Huron Family Practice Center Pc | |
|
1225 10th St Huron Family Practice Center Pc Port Huron MI 48060-5205 | |
| (810) 987-6200 | |
| (810) 987-8717 |
| Full Name | Huron Family Practice Center Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1225 10th St, Port Huron, Michigan |
| Authorized Official Name and Position | Jean Ellen Ruthven (OFFICE MANAGER) |
| Authorized Official Contact | 8109876200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huron Family Practice Center Pc 1225 10th St Huron Family Practice Center Port Huron MI 48060-5205 Ph: (810) 987-6200 | Huron Family Practice Center Pc 1225 10th St Huron Family Practice Center Pc Port Huron MI 48060-5205 Ph: (810) 987-6200 |
| NPI Number | 1326070145 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 02/14/2008 |
| Medicare PECOS PAC ID | 9133154586 |
|---|---|
| Medicare Enrollment ID | O20051004000974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326070145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Sharon Rose Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164456265 PECOS PAC ID: 8527165067 Enrollment ID: I20070518000047 |
| Provider Name | Alexander A Ruthven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194757864 PECOS PAC ID: 0749387280 Enrollment ID: I20100211000669 |
| Provider Name | Betty J Falecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427666056 PECOS PAC ID: 6406272905 Enrollment ID: I20200811003657 |
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