Great Lakes Medical Clinic, Pllc

LBN: Great Lakes Medical Clinic, Pllc
Great Lakes Medical Clinic, Pllc is an health care organization with primary practice located at 1850 Pipestone Rd Suite 102-B, Benton Harbor MI 49022-2304. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Great Lakes Medical Clinic, Pllc can be contacted via phone (269) 925-8386, or through Schreckengust, Dawn Renee via phone (269) 925-8386.

Contact Information

Primary practice address
1850 Pipestone Rd Suite 102-B Benton Harbor MI 49022-2304
Phone: (269) 925-8386
Fax: (269) 925-4085
Website:
Map and Directions
Authorized official contact:
Name: Schreckengust, Dawn Renee Physician's Assistant Certified (PA-C)
Phone: (269) 925-8386

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 5601002947 Michigan

Profile Details

NPI number 1669614152
LBN Legal business name Great Lakes Medical Clinic, Pllc
DBA Doing business as
Authorized official Schreckengust, Dawn Renee Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2009
Last updated Mar 30th, 2009 - about 17 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.

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