| Munson Healthcare - Manistee Family Care | |
|
1391 E Parkdale Ave Manistee MI 49660-9352 | |
| (231) 398-1760 | |
| Not Available |
| Full Name | Munson Healthcare - Manistee Family Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1391 E Parkdale Ave, Manistee, Michigan |
| Authorized Official Name and Position | Ellen O Smith (PRESIDENT AMBULATORY CLINICS) |
| Authorized Official Contact | 2319357840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Munson Healthcare - Manistee Family Care 1391 E Parkdale Ave Manistee MI 49660-9352 Ph: (231) 398-1878 | Munson Healthcare - Manistee Family Care 1391 E Parkdale Ave Manistee MI 49660-9352 Ph: (231) 398-1760 |
| NPI Number | 1487010609 |
|---|---|
| Provider Enumeration Date | 01/04/2016 |
| Last Update Date | 09/22/2022 |
| Medicare PECOS PAC ID | 3072414333 |
|---|---|
| Medicare Enrollment ID | O20160202002168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487010609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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