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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
1261QP2300XPrimary Care Clinic/CenterMI

General Provider Information

NPI Number : 1871687962
Entity Type Code : Organization
Provider Name (Legal Business Name) : HPCN
Provider Business Mailing Address
First Line : 905 E COLBY ST
Second Line : PO BOX 189
City : WHITEHALL
State : MI
Zip : 49461-1262
Country : US
Telephone Number : 231-728-5910
Fax Number : 231-728-5918
Provider Business Practice Location Address
First Line : 905 E COLBY ST
Second Line :
City : WHITEHALL
State : MI
Zip : 49461-1262
Country : US
Telephone Number : 231-728-5910
Fax Number : 231-728-5918
Authorized Official
Title or Position : PRACTICE EXECUTIVE
Name : MRS. COLLEEN B JOHNSON
Credential : C.M.P.E
Telephone Number : 231-728-5910
Provider Enumeration Date : 10/03/2006
Last Update Date : 01/15/2014

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Directions to “HPCN ” Practice Location

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