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NPI Code Detail

MEDICARE: COUNTY OF LAPEER

MEDICARE: COUNTY OF LAPEER
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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1750910711OTHERMIBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275585929
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF LAPEER
Provider Business Mailing Address
First Line : 1570 SUNCREST DR
Second Line :
City : LAPEER
State : MI
Zip : 48446-1154
Country : US
Telephone Number : 810-667-0500
Fax Number :
Provider Business Practice Location Address
First Line : 1570 SUNCREST DR
Second Line :
City : LAPEER
State : MI
Zip : 48446-1154
Country : US
Telephone Number : 810-667-0500
Fax Number :
Authorized Official
Title or Position : OUTPT CLINIC/REIMBURSEMENT MANAGER
Name : MS. KRISTIN FANTIN
Credential :
Telephone Number : 810-667-0500
Provider Enumeration Date : 05/17/2006
Last Update Date : 08/28/2015

Similar Medicare Providers

1073541280 — DR. ALLAN KEITH THORBURN MD
Practice Location Address:
1570 SUNCREST DR
LAPEER, MI
48446-1154
Practice Phone: 810-667-0500
Practice Fax: 810-664-8728
1023063203 — MR. CLIFFORD STEVENS LMSW
Practice Location Address:
1570 SUNCREST DR
LAPEER, MI
48446-1154
Practice Phone: 810-667-0500
Practice Fax:
1437255882 — MS. GAIL E. STANKEE D.O.
Practice Location Address:
1570 SUNCREST DR
LAPEER, MI
48446-1154
Practice Phone: 810-667-0500
Practice Fax: 810-664-8728
1497852537 — MRS. SANDRA ANN SANTAROSSA LMSW
Practice Location Address:
1570 SUNCREST DR
LAPEER, MI
48446-1154
Practice Phone: 810-667-0500
Practice Fax:
1174621510 — MR. WILLIAM J LEIX LBSW
Practice Location Address:
1570 SUNCREST DR
LAPEER, MI
48446-1154
Practice Phone: 810-667-0500
Practice Fax:
1588762561 — MS. SUSAN F CLEMENT LPC, NCC
Practice Location Address:
1570 SUNCREST DR
LAPEER, MI
48446-1154
Practice Phone: 810-667-0500
Practice Fax:

Directions to “COUNTY OF LAPEER ” Practice Location

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