CENTRAL MICHIGAN FAMILY PRACTICE NPI 1306866215

NPI Information

NPI: 1306866215
Provider Name: CENTRAL MICHIGAN FAMILY PRACTICE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
522 EAST MAIN STREET
FARWELL, MI
ZIP 48622
Phone: (989) 588-6153
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CENTRAL MICHIGAN FAMILY PRACTICE is a family medicine in Farwell, 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. CENTRAL MICHIGAN FAMILY PRACTICE NPI is 1306866215. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

522 EAST MAIN STREET
FARWELL, MI
ZIP 48622
Phone: (989) 588-6153
Fax: (989) 588-6194

The provider's authorized official is Brock W Horsley .
The authorized official title is Owner and has the following contact phone number (989) 588-6153.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 12/10/2010.

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	207Q00000X	Family Medicine		5101014871	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	Other Provider Identifier Issuer
1	0101842	OTHER	MICHIGAN	PHP UNITED HEALTHCARE
2	0853701105	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD
3	I17657	MEDICARE UPIN
4	1012731	OTHER	MICHIGAN	MCLAREN HEALTH PLAN
5	610677100	OTHER		US DEPT OF LABOR
6	N99520001	MEDICARE ID-TYPE UNSPECIFIED
7	114637450	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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