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NPI Code Detail

MEDICARE: HPCN

MEDICARE: HPCN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMI

General Provider Information

NPI Number : 1508801812
Entity Type Code : Organization
Provider Name (Legal Business Name) : HPCN
Provider Business Mailing Address
First Line : 601 W SAVIDGE ST
Second Line :
City : SPRING LAKE
State : MI
Zip : 49456-1620
Country : US
Telephone Number : 616-844-7591
Fax Number : 616-844-7592
Provider Business Practice Location Address
First Line : 601 W SAVIDGE ST
Second Line :
City : SPRING LAKE
State : MI
Zip : 49456-1620
Country : US
Telephone Number : 616-844-7591
Fax Number : 616-844-7592
Authorized Official
Title or Position : ACCOUNTING MANAGER
Name : LINDA ELLISON
Credential :
Telephone Number : 231-728-1676
Provider Enumeration Date : 06/19/2006
Last Update Date : 09/19/2007

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Directions to “HPCN ” Practice Location

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