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THORNAPPLE VALLEY FAMILY PHYSICIANS PC NPI 1528268513


NPI Information

NPI: 1528268513
Provider Name: THORNAPPLE VALLEY FAMILY PHYSICIANS PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D0377750

Address:
1005 W GREEN ST
HASTINGS, MI
ZIP 49058
Phone: (269) 948-8057
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THORNAPPLE VALLEY FAMILY PHYSICIANS PC is a family medicine in Hastings, 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. THORNAPPLE VALLEY FAMILY PHYSICIANS PC NPI is 1528268513. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1005 W GREEN ST
HASTINGS, MI
ZIP 49058-712
Phone: (269) 948-8057
Fax: (269) 948-8964

The provider's authorized official is Diane B Ebaugh .
The authorized official title is President and has the following contact phone number (269) 948-8057.

The CLIA number assigned to this NPI record is 23D0377750 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/19/2007 and was last updated on 4/27/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4301046093MICHIGANYes

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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