| Packard Health, Inc. | |
|
2650 Carpenter Rd Ann Arbor MI 48108-1108 | |
| (734) 971-1073 | |
| (734) 773-1833 |
| Full Name | Packard Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2650 Carpenter Rd, Ann Arbor, Michigan |
| Authorized Official Name and Position | Todd Montrief (CFO) |
| Authorized Official Contact | 7349264935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Packard Health, Inc. 5200 Venture Dr Ann Arbor MI 48108-9561 Ph: (734) 926-4935 | Packard Health, Inc. 2650 Carpenter Rd Ann Arbor MI 48108-1108 Ph: (734) 971-1073 |
| NPI Number | 1467049692 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 12/22/2020 |
| Medicare PECOS PAC ID | 6204876113 |
|---|---|
| Medicare Enrollment ID | O20210212001687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467049692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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