Gladwin Family Care Center P C

LBN: Gladwin Family Care Center P C
Gladwin Family Care Center P C is an health care organization with primary practice located at 2137 W M61 , Gladwin MI 48624. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Gladwin Family Care Center P C can be contacted via phone (989) 426-9399, or through Churbaji, Hicham via phone (989) 426-9399.

Contact Information

Primary practice address
2137 W M61 Gladwin MI 48624
Phone: (989) 426-9399
Fax: (989) 246-2257
Website:
Map and Directions
Authorized official contact:
Name: Churbaji, Hicham Doctor of Medicine (MD)
Phone: (989) 426-9399

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1104931211
LBN Legal business name Gladwin Family Care Center P C
DBA Doing business as
Authorized official Churbaji, Hicham Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Nov 1st, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104931211 NPPES
Michigan MEDICAID 4276035
Michigan MEDICAID 5203202
Michigan MEDICAID 5214752
Michigan MEDICAID 4989200
Michigan MEDICAID 4920566
Michigan MEDICAID 7116734

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