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SHEPHERD CLINIC PLC NPI 1235184037


NPI Information

NPI: 1235184037
Provider Name: SHEPHERD CLINIC PLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D0702519

Address:
217 W WRIGHT AVE
SHEPHERD, MI
ZIP 48883
Phone: (989) 828-6691
Get Directions

SHEPHERD CLINIC PLC is a family medicine in Shepherd, 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. SHEPHERD CLINIC PLC NPI is 1235184037. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

217 W WRIGHT AVE
SHEPHERD, MI
ZIP 48883-502
Phone: (989) 828-6691

The provider's authorized official is Kurt Anderson .
The authorized official title is Owner and has the following contact phone number (989) 828-6691.

The CLIA number assigned to this NPI record is 23D0702519 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 9/28/2007.


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
1207Q00000XFamily Medicine5101008087MICHIGANYes

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
11437698MEDICAIDMICHIGAN
24920501MEDICAIDMICHIGAN
3E26225MEDICARE UPINMICHIGAN
4Q75016MEDICARE UPINMICHIGAN
50P39930MEDICARE PINMICHIGAN

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

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