Chbrh Tm Clinic Evart Hs | |
6221 95th Ave Evart MI 49631-8455 | |
(616) 754-6185 | |
Not Available |
Full Name | Chbrh Tm Clinic Evart Hs |
---|---|
Speciality | Social Worker |
Location | 6221 95th Ave, Evart, Michigan |
Authorized Official Name and Position | Elisabeth Lacey (CREDENTIALING MANAGER) |
Authorized Official Contact | 6164866630 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chbrh Tm Clinic Evart Hs 100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 Ph: () - | Chbrh Tm Clinic Evart Hs 6221 95th Ave Evart MI 49631-8455 Ph: (616) 754-6185 |
NPI Number | 1326610817 |
---|---|
Provider Enumeration Date | 07/14/2021 |
Last Update Date | 08/30/2023 |
Certification Date | 08/30/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326610817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
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