| Midmichigan Medical Offices - Roscommon | |
|
135 Lake St Roscommon MI 48653-7658 | |
| (989) 275-8931 | |
| (989) 275-4074 |
| Full Name | Midmichigan Medical Offices - Roscommon |
|---|---|
| Speciality | Clinic/Center |
| Location | 135 Lake St, Roscommon, Michigan |
| Authorized Official Name and Position | Darrell E Milner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9894225148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midmichigan Medical Offices - Roscommon 9249 W Lake City Rd Houghton Lake MI 48629-9602 Ph: (989) 422-5122 | Midmichigan Medical Offices - Roscommon 135 Lake St Roscommon MI 48653-7658 Ph: (989) 275-8931 |
| NPI Number | 1841457314 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 09/13/2010 |
| Medicare PECOS PAC ID | 7911800495 |
|---|---|
| Medicare Enrollment ID | O20080827000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841457314 | NPI | - | NPPES |
| 18010 | Other | MI | BCBSM FACILITY CODE |
| 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: 112 S 4th St, Ste Medical, Roscommon, MI 48653 Phone: 989-422-5122 Fax: 989-422-4378 | |
Village Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308b Lake St, Roscommon, MI 48653 Phone: 989-302-2360 | |
Midmichigan Health Services Gerrish Higgins Community Schools Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 299 E Sunset Dr, Roscommon, MI 48653 Phone: 989-275-6640 Fax: 989-275-4074 | |
Roscommon Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 234 Lake St, Roscommon, MI 48653 Phone: 989-275-1200 |