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HART FAMILY MEDICAL ASSOCIATES PC NPI 1093710675


NPI Information

NPI: 1093710675
Provider Name: HART FAMILY MEDICAL ASSOCIATES PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D0892856

Address:
611 EAST MAIN ST
HART, MI
ZIP 49420
Phone: (231) 873-5675
Get Directions

HART FAMILY MEDICAL ASSOCIATES PC is a family medicine in Hart, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HART FAMILY MEDICAL ASSOCIATES PC NPI is 1093710675. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

611 EAST MAIN ST
HART, MI
ZIP 49420-190
Phone: (231) 873-5675
Fax: (231) 873-4805

The provider's authorized official is Rudy C Ochs .
The authorized official title is President and has the following contact phone number (231) 873-5675.

The CLIA number assigned to this NPI record is 23D0892856 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2005 and was last updated on 5/22/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine5101011414MICHIGANNo
2207Q00000XFamily Medicine5101011554MICHIGANNo
3207Q00000XFamily Medicine5101009698MICHIGANNo
4207Q00000XFamily Medicine4101133105MICHIGANNo
5104100000XSocial WorkerAB03370MICHIGANNo
6207Q00000XFamily MedicineMICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1010F476090OTHERMICHIGANBCBS GROUP NUMBER
2=========OTHERMICHIGANTAX ID
3500F4710070OTHERMICHIGANBCBS NP GROUP NUMBER
4ON44300MEDICARE PINMICHIGAN
5OF47609010MEDICARE PINMICHIGAN
6800F410320OTHERMICHIGANBCBSMI
7C15418MEDICARE ID-TYPE UNSPECIFIEDMICHIGANRR MCARE GROUP NUMBER
84338002 TYPE 11MEDICAIDMICHIGAN
90N92310MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMCARE NP GROUP #
108008974220OTHERMICHIGANBCBS MI
113015197 TYPE 11OTHERMICHIGANPAUL A WAGNER
1211272959OTHERMICHIGANCAQH ID NUMBER
1301027OTHERMICHIGANPRIORITY HEALTH GRP #
14R38852MEDICARE UPINMICHIGAN
150F47609MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE GROUP NUMBER
16C31249MEDICARE ID-TYPE UNSPECIFIEDMICHIGANRR MCARE GROUP
173269528 TYPE 11MEDICARE ID-TYPE UNSPECIFIEDMICHIGANCONSTANCE STRBICH

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: 11/14/2023
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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.

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