Shoreline Family Medicine Pc

LBN: Shoreline Family Medicine Pc
Shoreline Family Medicine Pc is an health care organization with primary practice located at 5933 Grand Haven Rd , Muskegon MI 49441-6011. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Shoreline Family Medicine Pc can be contacted via phone (231) 799-3300, or through Powell, Matthew N. via phone (231) 780-3300.

Contact Information

Primary practice address
5933 Grand Haven Rd Muskegon MI 49441-6011
Phone: (231) 799-3300
Fax: (231) 799-3322
Website:
Map and Directions
Authorized official contact:
Name: Powell, Matthew N. Doctor of Osteopathy (DO)
Phone: (231) 780-3300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101013736 Michigan

Profile Details

NPI number 1417094459
LBN Legal business name Shoreline Family Medicine Pc
DBA Doing business as
Authorized official Powell, Matthew N. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated May 5th, 2008 - about 16 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 1417094459 NPPES
Michigan Other 5610080 BLUE CROSS
Michigan MEDICAID 4309931 BLUE CROSS

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