Healthcare Provider Details

I. General information

NPI: 1194949990
Provider Name (Legal Business Name): MEDICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 ENSLEY ST
HOWARD CITY MI
49329-8656
US

IV. Provider business mailing address

220 N ENSLEY PO BOX 517
HOWARD CITY MI
49329
US

V. Phone/Fax

Practice location:
  • Phone: 231-937-6226
  • Fax: 231-937-7107
Mailing address:
  • Phone: 231-937-6226
  • Fax: 231-937-7107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number5601001291
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. TRANG H PHAN
Title or Position: PRESIDENT
Credential: PHYSICIANS ASSISTANT
Phone: 231-937-6226