| Midmichigan Health Services | |
|
112 S 4th St Ste Medical Roscommon MI 48653-8904 | |
| (989) 422-5122 | |
| (989) 422-4378 |
| Full Name | Midmichigan Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 112 S 4th St, Roscommon, Michigan |
| Authorized Official Name and Position | James P Raschke (CEO) |
| Authorized Official Contact | 9894222105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 112 S 4th St Ste Medical Roscommon MI 48653-8904 Ph: (989) 422-5122 |
| NPI Number | 1033768700 |
|---|---|
| Provider Enumeration Date | 09/05/2019 |
| Last Update Date | 09/05/2019 |
| Medicare PECOS PAC ID | 7911800495 |
|---|---|
| Medicare Enrollment ID | O20191101001112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033768700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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