East Side Family Physicians Pc in Bay City - Family Medicine

East Side Family Physicians Pc - NPI 1124137344

East Side Family Physicians Pc is a Family Medicine in Bay City, Michigan. East Side Family Physicians Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for East Side Family Physicians Pc is 1124137344. The last update date is 2013-07-17.

East Side Family Physicians Pc's current location address is 618 Mulholland St, Bay City, Michigan. You can contact this provider via phone number 9898944700 and fax number 9898956245. The mailing address for East Side Family Physicians Pc is 618 Mulholland St, Bay City, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization East Side Family Physicians Pc
Address 618 Mulholland St, Bay City, Michigan
Phone Number 9898944700
Fax Number 9898956245
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Richard Kay Kendra
Credentials MA
Telephone Number 9898944700

NPI Number Detail

NPI Number 1124137344
Provider Enumeration Date 2006-08-30
Last Updated Date 2013-07-17

Provider Mailing Address Detail

Address 618 Mulholland St
City Bay City
State Michigan (MI)
Post Code 487087645
Phone Number 9898944700
Fax Number 9898956245

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No NC014980
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
080Z910620 MI BLUE CROSS

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FAQs about East Side Family Physicians Pc

What is the unique identification code assigned to East Side Family Physicians Pc by the Centers for Medicare & Medicaid Services?

The East Side Family Physicians Pc has been issued the NPI (National Provider Identifier) 1124137344. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of East Side Family Physicians Pc?

The East Side Family Physicians Pc is situated at 618 Mulholland St, in the city of Bay City, state of MI, with the zip code 487087645.

What is the East Side Family Physicians Pc's area of specialization and corresponding taxonomy classification?

The East Side Family Physicians Pc's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1124137344 to East Side Family Physicians Pc?

The Centers for Medicare & Medicaid Services originally issued the 1124137344 to East Side Family Physicians Pc on 2006-08-30.

When was the information regarding East Side Family Physicians Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to East Side Family Physicians Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-07-17.

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