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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CREEKSIDE MANOR

Active Organization

CREEKSIDE MANOR is a Exclusive Provider Organization organization located in BIG RAPIDS, Michigan. NPI 1073051264 is currently active in the NPPES registry. Verify at CMS.

Exclusive Provider Organization · BIG RAPIDS, MI

Registration Details

NPI Number
1073051264
Provider Type
Organization
NPI Issued
Feb 7, 2017 (9.5340446885848 yrs)
Last Updated
Feb 7, 2017
License
AM540070004 (MI)

Practice Information

Address
17460 12 MILE RD
BIG RAPIDS, MI, 493079554
Browse MI providers · Browse ZIP 49307
Phone
2317966131
Primary Specialty
Exclusive Provider Organization
302F00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.