MEDICARE: FOREST AREA HEALTH CENTER, PC

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
1	261QR1300X	Rural Health Clinic/Center		MI

General Provider Information

NPI Number	:	1326199126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOREST AREA HEALTH CENTER, PC

Provider Business Mailing Address
First Line	:	113 N. MAIN STREET
Second Line	:	PO BOX 221
City	:	FIFE LAKE
State	:	MI
Zip	:	49633-0221
Country	:	US
Telephone Number	:	231-879-4810
Fax Number	:	231-879-4916

Provider Business Practice Location Address
First Line	:	113 N. MAIN STREET
Second Line	:	BOX 221
City	:	FIFE LAKE
State	:	MI
Zip	:	49633-0221
Country	:	US
Telephone Number	:	231-879-4810
Fax Number	:	231-879-4916

Authorized Official
Title or Position	:	DIRECTOR
Name	:	THABIT BAHHUR
Credential	:	MD
Telephone Number	:	231-879-4810

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	07/21/2022

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