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MEDICS PC NPI 1194949990


NPI Information

NPI: 1194949990
Provider Name: MEDICS PC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 23D0888231

Address:
220 ENSLEY ST
HOWARD CITY, MI
ZIP 49329
Phone: (231) 937-6226
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MEDICS PC is a rural health clinic center in Howard City, MI. MEDICS PC NPI is 1194949990. The provider is registered as an organization entity type.

The provider's business location address is:

220 ENSLEY ST
HOWARD CITY, MI
ZIP 49329-656
Phone: (231) 937-6226
Fax: (231) 937-7107

The provider's authorized official is Trang H Phan .
The authorized official title is President and has the following contact phone number (231) 937-6226.

The CLIA number assigned to this NPI record is 23D0888231 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 4/16/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural Health5601001291MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
170-0-E9-6344-0OTHERMICHIGANBCBSM GROUP ID #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.