Mt Morris Family Medicine Llc

LBN: Mt Morris Family Medicine Llc
Mt Morris Family Medicine Llc is an health care organization with primary practice located at 8434 N Saginaw Rd , Mount Morris MI 48458-1190. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mt Morris Family Medicine Llc can be contacted via phone (810) 686-1997, or through Knicely, Melodie A via phone (810) 686-1997.

Contact Information

Primary practice address
8434 N Saginaw Rd Mount Morris MI 48458-1190
Phone: (810) 686-1997
Fax: (810) 686-1820
Website:
Map and Directions
Authorized official contact:
Name: Knicely, Melodie A Doctor of Medicine (MD)
Phone: (810) 686-1997

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MK051305 Michigan

Profile Details

NPI number 1154622595
LBN Legal business name Mt Morris Family Medicine Llc
DBA Doing business as
Authorized official Knicely, Melodie A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2010
Last updated Nov 16th, 2010 - about 14 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 1154622595 NPPES
Michigan Other 0802500611 BCBS PIN
Michigan MEDICAID 448882310 BCBS PIN

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