Organization
PRESCOTT CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM E BERNER (CLINIC ADMINISTRATOR)
(989) 892-7722
Entity
Organization
Contact information
Practice address
125 WASHINGTON, PRESCOTT, MI 48756
(989) 873-3352
(989) 873-3949
Mailing address
125 N WASHINGTON ST, PO BOX 114, PRESCOTT, MI 48756-5117
(989) 892-7722
(989) 892-7455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010F510190
BCBS
MI
05
—
114303974
—
MI
01
—
233873
RIVERBEND
—
Enumeration date
06/29/2006
Last updated
08/15/2018
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