20Th Street Clinic Pc in Battle Creek - Family Medicine
20Th Street Clinic Pc - NPI 1578744918
20Th Street Clinic Pc is a Family Medicine in Battle Creek, Michigan. 20Th Street Clinic Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for 20Th Street Clinic Pc is 1578744918. The last update date is 2013-03-27.
20Th Street Clinic Pc's current location address is 105 N 20th St, Battle Creek, Michigan. You can contact this provider via phone number 2699696010 and fax number 2699648422. The mailing address for 20Th Street Clinic Pc is 105 N 20th St, Battle Creek, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 20Th Street Clinic Pc |
|---|---|
| Address | 105 N 20th St, Battle Creek, Michigan |
| Phone Number | 2699696010 |
| Fax Number | 2699648422 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Fedele Stephen |
| Credentials | DO |
| Telephone Number | 2699696010 |
NPI Number Detail
| NPI Number | 1578744918 |
|---|---|
| Provider Enumeration Date | 2007-11-14 |
| Last Updated Date | 2013-03-27 |
Provider Mailing Address Detail
| Address | 105 N 20th St |
|---|---|
| City | Battle Creek |
| State | Michigan (MI) |
| Post Code | 490151746 |
| Phone Number | 2699696010 |
| Fax Number | 2699648422 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101004673 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 080A310650 | MI | BCBS | |
| 111023860 | MI | -- | |
| 464295 | MI | ADVANTRA FREEDOM | |
| CJ8333 | RR MCR | ||
| 10057408 | RR MCR P-TAN | ||
| 5130499 | MEDICARE ADVANTAGE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to 20Th Street Clinic Pc by the Centers for Medicare & Medicaid Services?
The 20Th Street Clinic Pc has been assigned the NPI (National Provider Identifier) 1578744918 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where 20Th Street Clinic Pc's facilities are geographically located?
The facilities of 20Th Street Clinic Pc are physically situated at the following location: 105 N 20Th St, Battle Creek, MI, 490151746.
What is 20Th Street Clinic Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for 20Th Street Clinic Pc is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
When was the 20Th Street Clinic Pc's 1578744918 issued?
The 20Th Street Clinic Pc's 1578744918 was issued on 2007-11-14.
When was the information regarding 20Th Street Clinic Pc most recently updated?
The details pertaining to the 20Th Street Clinic Pc, including its address, specialty, and other relevant information, were last refreshed on 2013-03-27.