JONESVILLE HEALTH CARE PLLC NPI 1063573830

NPI Information

NPI: 1063573830
Provider Name: JONESVILLE HEALTH CARE PLLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 23D1022773

Address:
216 OLDS ST
JONESVILLE, MI
ZIP 49250
Phone: (517) 849-7100
Get Directions

JONESVILLE HEALTH CARE PLLC is a rural health clinic center in Jonesville, MI. JONESVILLE HEALTH CARE PLLC NPI is 1063573830. The provider is registered as an organization entity type.

The provider's business location address is:

216 OLDS ST
JONESVILLE, MI
ZIP 49250-128
Phone: (517) 849-7100
Fax: (517) 849-2453

The provider's authorized official is Sheila K Mcmullen .
The authorized official title is Manager and has the following contact phone number (517) 849-7100.

The CLIA number assigned to this NPI record is 23D1022773 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 9/4/2013.

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	Primary
1	302R00000X	Health Maintenance Organization		No
2	207Q00000X	Family Medicine		No
3	261QR1300X	Clinic/Center	Rural Health	Yes

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
1	P30270F	OTHER	MICHIGAN	BCN
2	0153000155	OTHER	MICHIGAN	BLUE CROSS
3	H46641	MEDICARE UPIN	MICHIGAN
4	P117885	OTHER	MICHIGAN	BCN
5	S67629	MEDICARE UPIN	MICHIGAN
6	ON79140	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
7	0120255	OTHER	MICHIGAN	PHP
8	143119	OTHER	MICHIGAN	GREAT LAKES
9	114516211	MEDICAID	MICHIGAN
10	7537437	OTHER	MICHIGAN	AETNA
11	0153000175	OTHER	MICHIGAN	BLUE CROSS
12	R65483	MEDICARE UPIN	MICHIGAN
13	0120256	OTHER	MICHIGAN	PHP
14	H47918	MEDICARE UPIN	MICHIGAN
15	114511135	MEDICAID	MICHIGAN
16	143115	OTHER	MICHIGAN	GREAT LAKES
17	7559446	OTHER	MICHIGAN	AETNA

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

NPI Synchronization or Removal

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