Organization
WHITE PINE FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISSA MARIE MATTHEWS PA-C (OWNER)
(616) 696-2020
Entity
Organization
Contact information
Practice address
261 N MAIN, CEDAR SPRINGS, MI 49319-9709
(616) 696-2020
(616) 696-4860
Mailing address
261 N MAIN, CEDAR SPRINGS, MI 49319-9709
(616) 696-2020
(616) 696-4860
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
233808
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080D115180
BCBS
MI
05
—
114737787
—
MI
01
—
233808
CAHABA
MI
01
—
P00307608
METRA UNITED HEALTH
MI
Enumeration date
07/28/2006
Last updated
11/06/2013
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