| Prudenville Community Health Center | |
|
2585 W Houghton Lake Dr Prudenville MI 48651-9624 | |
| (989) 366-2900 | |
| Not Available |
| Full Name | Prudenville Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2585 W Houghton Lake Dr, Prudenville, Michigan |
| Authorized Official Name and Position | Kirsten Korth-white (PRESIDENT/CEO EAST REGION) |
| Authorized Official Contact | 9893480720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prudenville Community Health Center 1105 Sixth St Traverse City MI 49684-2349 Ph: (231) 935-5000 | Prudenville Community Health Center 2585 W Houghton Lake Dr Prudenville MI 48651-9624 Ph: (989) 366-2900 |
| NPI Number | 1144626052 |
|---|---|
| Provider Enumeration Date | 11/05/2014 |
| Last Update Date | 04/02/2024 |
| Medicare PECOS PAC ID | 2062736655 |
|---|---|
| Medicare Enrollment ID | O20150202000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144626052 | NPI | - | NPPES |
| 238562 | Medicaid | MI | |
| 00030 | Other | MI | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mercy Grayling Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2585 W Houghton Lake Drive, Prudenville, MI 48651 Phone: 989-366-2900 Fax: 989-366-1166 | |
Mercy Physician Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2585 W Houghton Lake Dr, Prudenville, MI 48651 Phone: 989-366-2900 Fax: 989-366-1166 | |
Mclaren Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N. Grand Ave, Prudenville, MI 48651 Phone: 989-366-1000 Fax: 989-366-1002 | |
General And Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1064 W West Branch Rd, Prudenville, MI 48651 Phone: 989-366-4800 | |
Rise Center For Autism Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1840 W Houghton Lake Dr Unit 2, Prudenville, MI 48651 Phone: 989-965-3274 | |
Mclaren Bay Region Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Grand Ave, Prudenville, MI 48651 Phone: 989-366-1000 Fax: 989-366-1002 |