| Third Coast Family Practice | |
|
821 W Us Highway 10 31 Scottville MI 49454-9601 | |
| (231) 757-2500 | |
| (231) 757-9073 |
| Full Name | Third Coast Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 821 W Us Highway 10 31, Scottville, Michigan |
| Authorized Official Name and Position | Craig Kenneth Matheson (OWNER AND SOLE MEMBER) |
| Authorized Official Contact | 2317572500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Third Coast Family Practice 821 West U.s. Highway 10 Scottville MI 49454 Ph: (231) 757-2500 | Third Coast Family Practice 821 W Us Highway 10 31 Scottville MI 49454-9601 Ph: (231) 757-2500 |
| NPI Number | 1205961745 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 02/17/2021 |
| Certification Date | 02/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205961745 | NPI | - | NPPES |
| CLIA | Other | MI | 23D1038209 |
| 4615194 | Medicaid | MI | |
| 0855301234 | Other | MI | BLUE CROSS BLUE SHIELD ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 5101011416 (Michigan) | Primary |
Compassionate House Visits, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 S Main St, Scottville, MI 49454 Phone: 248-332-1236 |
Timothy R Woltanski, M.D. P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Thomas St, Scottville, MI 49454 Phone: 231-757-3743 Fax: 231-757-0071 |
Northwest Michigan Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 W Beryl St, Scottville, MI 49454 Phone: 231-233-6178 |