| Surgical Care Center Of Michigan | |
|
750 East Beltline Ne Grand Rapids MI 49525-6049 | |
| (616) 940-3600 | |
| (616) 954-0213 |
| Full Name | Surgical Care Center Of Michigan |
|---|---|
| Speciality | Clinic/Center |
| Location | 750 East Beltline Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Kristine Patrice Kilgore (ADMINISTRATICE DIRECTOR) |
| Authorized Official Contact | 6165806520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surgical Care Center Of Michigan 750 East Beltline Ne Grand Rapids MI 49525-6049 Ph: (616) 940-3600 | Surgical Care Center Of Michigan 750 East Beltline Ne Grand Rapids MI 49525-6049 Ph: (616) 940-3600 |
| NPI Number | 1700967106 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 01/03/2021 |
| Medicare PECOS PAC ID | 7416082672 |
|---|---|
| Medicare Enrollment ID | O20100315000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700967106 | NPI | - | NPPES |
| 490001454 | Other | MI | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
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