20Th Street Clinic Pc
LBN: 20Th Street Clinic Pc
20Th Street Clinic Pc is an health care organization with primary practice located at 105 N 20Th St , Battle Creek MI 49015-1746. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
20Th Street Clinic Pc can be contacted via phone (269) 969-6010, or through Fedele, Stephen via phone (269) 969-6010.
Contact Information
Primary practice address
105 N 20Th St
Battle Creek MI 49015-1746
Phone: (269) 969-6010
Fax: (269) 964-8422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101004673 | Michigan |
Profile Details
| NPI number | 1578744918 |
|---|---|
| LBN Legal business name | 20Th Street Clinic Pc |
| DBA Doing business as | |
| Authorized official | Fedele, Stephen Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 14th, 2007 |
| Last updated | Mar 27th, 2013 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578744918 | NPPES |
| Michigan | Other | 080A310650 | BCBS |
| Michigan | MEDICAID | 111023860 | BCBS |
| Michigan | Other | 464295 | BCBS |
| Michigan | Other | CJ8333 | BCBS |
| Michigan | Other | 010057408 | BCBS |
| Michigan | Other | 5130499 | BCBS |
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