| Rudy Barba Psychiatry Service | |
|
101 S Union St Unit 101 Plymouth MI 48170 | |
| (734) 926-6605 | |
| Not Available |
| Full Name | Rudy Barba Psychiatry Service |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 S Union St Unit 101, Plymouth, Michigan |
| Authorized Official Name and Position | Nancy Spencer (CEO) |
| Authorized Official Contact | 9893580673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rudy Barba Psychiatry Service Po Box 655 Alpena MI 49707-0655 Ph: () - | Rudy Barba Psychiatry Service 101 S Union St Unit 101 Plymouth MI 48170 Ph: (734) 926-6605 |
| NPI Number | 1528569787 |
|---|---|
| Provider Enumeration Date | 02/23/2018 |
| Last Update Date | 05/17/2018 |
| Medicare PECOS PAC ID | 5991691958 |
|---|---|
| Medicare Enrollment ID | O20180423002339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528569787 | NPI | - | NPPES |
| 1326055450 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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