Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BOARDMAN FAMILY PRACTICE PLLC
Active OrganizationBOARDMAN FAMILY PRACTICE PLLC is a Rural Health Clinic organization located in SOUTH BOARDMAN, Michigan. NPI 1740564681 is currently active in the NPPES registry. Verify at CMS.
Rural Health Clinic · SOUTH BOARDMAN, MI
Registration Details
- NPI Number
- 1740564681
- Provider Type
- Organization
- NPI Issued
- Oct 10, 2011 (14.886454237492 yrs)
- Last Updated
- Mar 30, 2016
- Licenses
-
5101013379 (MI)5601002729 (MI)
Practice Information
- Address
-
4713 PINE ST SWSOUTH BOARDMAN, MI, 496809761Browse MI providers · Browse ZIP 49680
- Phone
- 2315180189
- Fax
- 2315180188
- Primary Specialty
-
Rural Health Clinic
261QR1300X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Rural Health Clinic
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.