| Phoenix Health Care | |
|
10475 W Jefferson Ave River Rouge MI 48218-1331 | |
| (313) 342-8421 | |
| Not Available |
| Full Name | Phoenix Health Care |
|---|---|
| Speciality | Family Medicine |
| Location | 10475 W Jefferson Ave, River Rouge, Michigan |
| Authorized Official Name and Position | Gerald Hudson (OWNER) |
| Authorized Official Contact | 3133428421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Health Care 10475 W Jefferson Ave River Rouge MI 48218-1331 Ph: (313) 342-8421 | Phoenix Health Care 10475 W Jefferson Ave River Rouge MI 48218-1331 Ph: (313) 342-8421 |
| NPI Number | 1366796567 |
|---|---|
| Provider Enumeration Date | 11/09/2012 |
| Last Update Date | 11/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366796567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301091092 (Michigan) | Primary |
Sumpter Integrated Health Care Clinic P.l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Visger Rd, River Rouge, MI 48218 Phone: 313-982-7839 Fax: 313-982-7915 |