Clarkston Health Center in Clarkston - Diagnostic Radiology
Clarkston Health Center - NPI 1750327771
Clarkston Health Center is a Diagnostic Radiology in Clarkston, Michigan. Clarkston Health Center practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Clarkston Health Center is 1750327771. The last update date is 2020-08-22.
Clarkston Health Center's current location address is 5625 Water Tower Pl, Clarkston, Michigan. You can contact this provider via phone number 2486204222 and fax number 2486204234. The mailing address for Clarkston Health Center is 5625 Water Tower Pl, Clarkston, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clarkston Health Center |
|---|---|
| Address | 5625 Water Tower Pl, Clarkston, Michigan |
| Phone Number | 2486204222 |
| Fax Number | 2486204234 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Thomas K Kelli |
| Credentials | R.T. |
| Telephone Number | 2486204227 |
NPI Number Detail
| NPI Number | 1750327771 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5625 Water Tower Pl |
|---|---|
| City | Clarkston |
| State | Michigan (MI) |
| Post Code | 483462671 |
| Phone Number | 2486204222 |
| Fax Number | 2486204234 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 775305 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9522 | MI | CAPE MEDICAL | |
| ON75750 | MI | HAP | |
| 137850 | MI | CARE CHOICES | |
| OF30168 | MI | BLUE CARE NETWORK | |
| OF30168 | MI | BLUE CROSS BLUE SHIELD OF | |
| 996948 | MI | HEALTH PLUS OF MI | |
| 137850 | MI | PREFERRED CHOICES | |
| 16442 | MI | M-CARE | |
| 7065650 | MI | CIGNA |
Post Comment/ Review Below
What is the unique identification code assigned to Clarkston Health Center by the Centers for Medicare & Medicaid Services?
The Clarkston Health Center has been issued the NPI (National Provider Identifier) 1750327771. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Clarkston Health Center's facilities are situated?
The facilities of Clarkston Health Center are physically located at the following address: 5625 Water Tower Pl, Clarkston, MI, 483462671.
What is Clarkston Health Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Clarkston Health Center is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1750327771 to Clarkston Health Center?
The Clarkston Health Center received its 1750327771 assignment from the Centers for Medicare & Medicaid Services on 2006-06-20.
As of what date were the details pertaining to Clarkston Health Center last refreshed?
The information related to the Clarkston Health Center, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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