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GRATIOT FAMILY PRACTICE PC NPI 1659387488


NPI Information

NPI: 1659387488
Provider Name: GRATIOT FAMILY PRACTICE PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D0979536

Address:
160 E WARWICK DR
ALMA, MI
ZIP 48801
Phone: (989) 463-3101
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GRATIOT FAMILY PRACTICE PC is a family medicine in Alma, 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. GRATIOT FAMILY PRACTICE PC NPI is 1659387488. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

160 E WARWICK DR
ALMA, MI
ZIP 48801-010
Phone: (989) 463-3101

The provider's authorized official is Vicki E Chessin .
The authorized official title is Medical Physcian and has the following contact phone number (989) 463-3101.

The CLIA number assigned to this NPI record is 23D0979536 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/1/2006 and was last updated on 6/19/2009.


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 Medicine3822220235MICHIGANYes

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
1B42943MEDICARE UPINMICHIGAN
20B96009002MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
31336031MEDICAIDMICHIGAN
4B46729MEDICARE UPINMICHIGAN
5F02018MEDICARE UPINMICHIGAN
60B96009006MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
70B96009001MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
80B96009004MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
9E91090MEDICARE UPINMICHIGAN
101318641MEDICAIDMICHIGAN
114600404MEDICAIDMICHIGAN
122772212MEDICAIDMICHIGAN

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

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.