| Midmichigan Health Services | |
| 
					4433 W Houghton Lake Dr Houghton Lake MI 48629-9786  | |
| (989) 366-2003 | |
| (989) 422-4378 | 
| Full Name | Midmichigan Health Services | 
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) | 
| Location | 4433 W Houghton Lake Dr, Houghton Lake, Michigan | 
| Authorized Official Name and Position | Darrell E Milner (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 9894225148 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Midmichigan Health Services 9249 W Lake City Rd Houghton Lake MI 48629-9602 Ph: (989) 422-5122  | Midmichigan Health Services 4433 W Houghton Lake Dr Houghton Lake MI 48629-9786 Ph: (989) 366-2003  | 
| NPI Number | 1316104995 | 
|---|---|
| Provider Enumeration Date | 05/21/2008 | 
| Last Update Date | 05/27/2008 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316104995 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Michigan) | Primary | 
Midmichigan Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9249 W Lake City Rd, Houghton Lake, MI 48629 Phone: 989-422-5122 Fax: 989-422-6838  |