| Select Health, P.c. | |
|
436 Marshall St Coldwater MI 49036-1139 | |
| (517) 278-6600 | |
| (517) 278-0600 |
| Full Name | Select Health, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 436 Marshall St, Coldwater, Michigan |
| Authorized Official Name and Position | Charles F Whitaker (PROVIDER) |
| Authorized Official Contact | 5172786600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Select Health, P.c. 436 Marshall St Coldwater MI 49036-1139 Ph: (517) 278-6600 | Select Health, P.c. 436 Marshall St Coldwater MI 49036-1139 Ph: (517) 278-6600 |
| NPI Number | 1699960013 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 08/09/2023 |
| Medicare PECOS PAC ID | 2264512821 |
|---|---|
| Medicare Enrollment ID | O20080108000812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699960013 | NPI | - | NPPES |
| 1639129646 | Medicaid | MI | |
| 1821054966 | Medicaid | MI | |
| 1144262122 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Michigan) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Charles F Whitaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821054966 PECOS PAC ID: 7911895586 Enrollment ID: I20040305000633 |
| Provider Name | Melinda S White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770832446 PECOS PAC ID: 6507018918 Enrollment ID: I20121211000509 |
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