Organization
KAIROS HEALTHCARE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED E. WIGEN JR. (PRESIDENT CEO)
(989) 777-4357
Entity
Organization
Contact information
Practice address
1321 S FAYETTE ST, SAGINAW, MI 48602-1447
(989) 792-8000
(989) 792-8445
Mailing address
6379 DIXIE HWY, BRIDGEPORT, MI 48722-9566
(989) 777-4357
(989) 777-7257
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
730174
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0K47927
HEALTH PLUS PIN
MI
01
—
14072
MCARE PIN
MI
01
—
328565
VALUE OPTIONS PIN
MI
01
—
543980 1427162239
HEALTH ALLIANCE PLAN PIN
MI
Enumeration date
11/28/2006
Last updated
08/22/2020
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