COUNTY OF ALLEGAN
Skilled Nursing Facility
Allegan, Michigan
Provider NPI: 1457354268
Organization Information:Organization Name: COUNTY OF ALLEGAN
Practice Location:
3265 122ND AVE ALLEGAN, MI 49010 US
Tel: 269-673-2102 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3265 122ND AVE ALLEGAN, MI 49010 US
Tel: 269-673-2102 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MI | 038510 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2085132 | MI | 05 | |
BCBS PROVIDER NUMBER | 09517 | MI | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin