Pine Medical Group Pc
LBN: Pine Medical Group Pc
Pine Medical Group Pc is an health care organization with primary practice located at 230 W Oak St , Fremont MI 49412-1575. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Pine Medical Group Pc can be contacted via phone (231) 924-4200, or through Young, Marge via phone (231) 924-4200.
Contact Information
Primary practice address
230 W Oak St
Fremont MI 49412-1575
Phone: (231) 924-4200
Fax: (231) 924-2027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1093980187 |
|---|---|
| LBN Legal business name | Pine Medical Group Pc |
| DBA Doing business as | |
| Authorized official | Young, Marge |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 29th, 2008 |
| Last updated | Feb 25th, 2010 - about 16 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 | 1093980187 | NPPES |
| Michigan | Other | G00521 | BCN GROUP NUMBER |
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