Pine Medical Group, Pc

LBN: Pine Medical Group, Pc
Pine Medical Group, Pc is an health care organization with primary practice located at 230 W Oak St , Fremont MI 49412-1575. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Pine Medical Group, Pc can be contacted via phone (231) 924-4200, or through Young, Marge via phone (231) 924-4200.

Contact Information

Primary practice address
230 W Oak St Fremont MI 49412-1575
Phone: (231) 924-4200
Fax: (231) 924-2027
Website:
Map and Directions
Authorized official contact:
Name: Young, Marge
Phone: (231) 924-4200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1770791147
LBN Legal business name Pine Medical Group, Pc
DBA Doing business as
Authorized official Young, Marge
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated May 14th, 2010 - about 15 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 1770791147 NPPES
Michigan Other OF260079082 MEDICARE COMMON PROVIDER

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