Organization
HPCN
Active
Other names
BEAR CREEK HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA ELLISON (ACCOUNTING MANAGER)
(231) 728-1678
Entity
Organization
Contact information
Practice address
1877 N GETTY ST, N MUSKEGON, MI 49445-8563
(231) 728-5073
(231) 728-5086
Mailing address
1877 N GETTY ST, N MUSKEGON, MI 49445-8563
(231) 728-5073
(231) 728-5086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301060189
MI
207Q00000X
Family Medicine Physician
4301072876
MI
207Q00000X
Family Medicine Physician
4301077504
MI
207R00000X
Internal Medicine Physician
43010085193
MI
207R00000X
Internal Medicine Physician
Primary
4301039064
MI
207R00000X
Internal Medicine Physician
4301063121
MI
207R00000X
Internal Medicine Physician
4301077595
MI
207R00000X
Internal Medicine Physician
4301080510
MI
363A00000X
Physician Assistant
5601002357
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11OF110940
BCBS GROUP NUMBER
MI
Enumeration date
10/24/2006
Last updated
04/20/2008
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