Organization
BRIDGES HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUNICE HAMILTON FNP (PRESIDENT AND CEO)
(269) 684-2837
Entity
Organization
Contact information
Practice address
1132 CARBERRY RD, NILES, MI 49120-5107
(269) 684-2837
Mailing address
1132 CARBERRY RD, NILES, MI 49120-5107
(269) 684-2837
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704218867
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0877675
BCBSM
MI
01
—
1114196748
MEDICARE PLUS BLUE PPO
MI
Enumeration date
09/13/2011
Last updated
09/13/2011
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