Healthcare Provider Details

I. General information

NPI: 1699344705
Provider Name (Legal Business Name): PINCONNING MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2021
Last Update Date: 06/29/2021
Certification Date: 06/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4175 N EUCLID AVE STE 3
BAY CITY MI
48706-2483
US

IV. Provider business mailing address

712 S TRUMBULL ST
BAY CITY MI
48708-4211
US

V. Phone/Fax

Practice location:
  • Phone: 989-684-8183
  • Fax: 989-684-8203
Mailing address:
  • Phone: 899-684-8183
  • Fax: 899-684-8203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS OROW
Title or Position: OWNER/ADMINISTRATOR
Credential: MD
Phone: 989-893-4351