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
1	207VX0000X	Obstetrics Physician

General Provider Information

NPI Number	:	1902810740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HPCN

Provider Business Mailing Address
First Line	:	6401 PRAIRIE ST
Second Line	:	2100
City	:	MUSKEGON
State	:	MI
Zip	:	49444-7840
Country	:	US
Telephone Number	:	231-727-7939
Fax Number	:	231-727-7935

Provider Business Practice Location Address
First Line	:	6401 PRAIRIE ST
Second Line	:	2100
City	:	MUSKEGON
State	:	MI
Zip	:	49444-7840
Country	:	US
Telephone Number	:	231-727-7939
Fax Number	:	231-727-7935

Authorized Official
Title or Position	:	MGR
Name	:	R MICHAEL BEAHAN
Credential	:
Telephone Number	:	231-728-1676

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	08/22/2020

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Directions to “HPCN ” Practice Location

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