Organization
ALCONA CITIZENS FOR HEALTH INC
Active
Organization
ALCONA CITIZENS FOR HEALTH INC
Active
Other names
Rudy Barba Psychiatry Service
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SPENCER (CEO)
(989) 358-0673
Entity
Organization
Contact information
Practice address
101 S UNION ST UNIT 101, PLYMOUTH, MI 48170
(734) 926-6605
Mailing address
PO BOX 655, ALPENA, MI 49707-0655
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326055450
—
MI
Enumeration date
02/23/2018
Last updated
05/17/2018
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