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Contact Information

FARWELL FAMILY MEDICINE CLINIC PC
10256 N WHITEVILLE RD
CLARE, MI48617-9319
 Phone: 989-386-7982
 Fax: 989-386-4232
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for FARWELL FAMILY MEDICINE CLINIC PC

NPI # 1386878031
LBN Legal business name FARWELL FAMILY MEDICINE CLINIC PC
Authorized official MARTIN JENNINGS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2009
Last updated 12/08/2009 - About 16 years ago
Identifiers
MI License # MJ007488
MI Medicaid 1417309
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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