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Organization

MGH FAMILY HEALTH CENTER

Active
Parent organization
MGH FAMILY HEALTH CENTER
Other names
MUSKEGON FAMILY CARE FAMILY PLANNING SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
MGH FAMILY HEALTH CENTER
Authorized official
MRS. DONNA M LITTLEJOHN M. ED. (EXECUTIVE DIRECTOR)
(231) 733-4800
Entity
Organization

Contact information

Practice address
1836 OAK AVE, MUSKEGON, MI 49442-2408
(231) 773-3828
(231) 737-8262
Mailing address
1700 OAK AVE, SUITE 011, MUSKEGON, MI 49442-2407
(231) 767-9806

Taxonomy

Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0M32670
MEDICARE PTAN
MI
Enumeration date
01/07/2008
Last updated
01/07/2008
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