FAMILY HEALTH & WELLNESS PC NPI 1952858987

NPI Information

NPI: 1952858987
Provider Name: FAMILY HEALTH & WELLNESS PC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 23D2119280

Address:
129 W BROWN ST
BEAVERTON, MI
ZIP 48612
Phone: (989) 435-2937
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FAMILY HEALTH & WELLNESS PC is a rural health clinic center in Beaverton, MI. FAMILY HEALTH & WELLNESS PC NPI is 1952858987. The provider is registered as an organization entity type.

The provider's business location address is:

129 W BROWN ST
BEAVERTON, MI
ZIP 48612-119
Phone: (989) 435-2937
Fax: (989) 435-3121

The provider's authorized official is Richard A Call .
The authorized official title is Owner and has the following contact phone number (989) 435-2937.

The CLIA number assigned to this NPI record is 23D2119280 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2016 and was last updated on 12/6/2016.

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	261QR1300X	Clinic/Center	Rural Health	5601004029	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	1952858987	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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