LESLIE MEDICAL CENTER P C NPI 1316160971

NPI Information

NPI: 1316160971
Provider Name: LESLIE MEDICAL CENTER P C
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
207 E BELLEVUE ST
LESLIE, MI
ZIP 49251
Phone: (517) 589-8252
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LESLIE MEDICAL CENTER P C is a student health clinic center in Leslie, MI. LESLIE MEDICAL CENTER P C NPI is 1316160971. The provider is registered as an organization entity type.

The provider's business location address is:

207 E BELLEVUE ST
LESLIE, MI
ZIP 49251-373
Phone: (517) 589-8252
Fax: (517) 589-5189

The provider's authorized official is Timur Anum Baruti .
The authorized official title is Physician and has the following contact phone number (517) 589-8252.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 3/22/2010.

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
1	261QS1000X	Clinic/Center	Student Health	4301052165	MICHIGAN	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
1	E91128	MEDICARE UPIN	MICHIGAN
2	OP17600	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
3	4741000	MEDICAID	MICHIGAN

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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