| Beaverton School Wellness Center | |
|
440 S Ross St Beaverton MI 48612 | |
| (989) 422-5122 | |
| (989) 422-4378 |
| Full Name | Beaverton School Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 440 S Ross St, Beaverton, Michigan |
| Authorized Official Name and Position | Melissa J Dunkle (CEO) |
| Authorized Official Contact | 9894222105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaverton School Wellness Center 9249 W Lake City Rd Houghton Lake MI 48629-9602 Ph: (989) 422-5122 | Beaverton School Wellness Center 440 S Ross St Beaverton MI 48612 Ph: (989) 422-5122 |
| NPI Number | 1164262721 |
|---|---|
| Provider Enumeration Date | 05/30/2024 |
| Last Update Date | 05/30/2024 |
| Medicare PECOS PAC ID | 7911800495 |
|---|---|
| Medicare Enrollment ID | O20241010001678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164262721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
Midmichigan Medical Offices-beaverton Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 439 S Ross St, Beaverton, MI 48612 Phone: 989-246-3500 Fax: 989-246-3519 |
Mymichigan Medical Center Gladwin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 439 S Ross St, Beaverton, MI 48612 Phone: 989-246-3519 |
Beaverton Medical Center P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 W Brown St, Beaverton, MI 48612 Phone: 989-435-2937 Fax: 989-435-3121 |
Mymichigan Medical Center Clare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Tonkin St, Beaverton, MI 48612 Phone: 989-435-3315 |
Family Health & Wellness PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 W Brown St, Beaverton, MI 48612 Phone: 989-435-2937 Fax: 989-435-3121 |
Mymichigan Medical Center Gladwin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 439 South Ross Street, Beaverton, MI 48612 Phone: 989-246-3500 Fax: 989-246-3519 |