CARE 1 OF BRONSON NPI 1952622086

NPI Information

NPI: 1952622086
Provider Name: CARE 1 OF BRONSON
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
735 E CHICAGO RD
BRONSON, MI
ZIP 49028
Phone: (517) 858-1400
Get Directions

CARE 1 OF BRONSON is a primary care clinic center in Bronson, MI. CARE 1 OF BRONSON NPI is 1952622086. The provider is registered as an organization entity type.

The provider's business location address is:

735 E CHICAGO RD
BRONSON, MI
ZIP 49028-349
Phone: (517) 858-1400
Fax: (517) 858-1403

The provider's authorized official is Tyann R Billman .
The authorized official title is Owner/partner and has the following contact phone number (517) 858-1400.

The enumeration date for this NPI number is 6/11/2010 and was last updated on 5/7/2015.

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	261QP2300X	Clinic/Center	Primary Care	5601003977	MICHIGAN	No
2	261QP2300X	Clinic/Center	Primary Care			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	0A20032	OTHER	MICHIGAN	BCBSM
2	MI4324	OTHER	MICHIGAN	MEDICARE PTAN
3	MI4324	MEDICARE PIN	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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