MI PRIMARY CARE, PLLC (NPI# 1104441302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104441302 |
| Entity Type | Organization |
| Organization Name | MI PRIMARY CARE, PLLC |
| Practice Address |
224 N Mill St Saint Louis MI 48880-1523 |
| Practice Telephone | 9893034101 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | ROBERTA S HAHN (MANAGER) |
| Authorized Official Telephone | 9893034101 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 217 W Broadway St, Mt Pleasant, MI 488582576 | 9897734433 |
| Street Address |
224 N MILL ST |
| City | SAINT LOUIS |
| State | MI |
| Zip Code | 48880-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477550689 | Gerrit Vanderlugt | Family Medicine | 224 N Mill St, Saint Louis, MI 48880-1523 | 2005-07-01 |
| 1306327606 | Charles Milan Dietz | Technician, Other | 224 N Mill St, Saint Louis, MI 48880-1523 | 2018-08-24 |
| 1972092815 | Chris Ray Seeley | Technician, Other | 224 N Mill St, Saint Louis, MI 48880-1523 | 2018-05-07 |
| 1477654234 | Gratiot Medical Center | General Practice | 224 N Mill St, Saint Louis, MI 48880-1523 | 2006-09-26 |
| 1255316832 | St Louis Family Clinic | Family Medicine | 224 N Mill St, Saint Louis, MI 48880-1523 | 2005-12-07 |
| 1144205725 | Joseph Gelina | Physician Assistant | 224 N Mill St, Saint Louis, MI 48880-1523 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036838 | Sheril Amilia Rolston | Technician/Technologist | 223 S Deleware St, Saint Louis, MI 48880 | 2020-06-08 |
| 1376603175 | Nancy Louise Parsons | Counselor | 214 W Saginow St, St Louis, MI 48880 | 2006-12-11 |
| 1396846234 | Greg William Lowe | Dentist | 622 E. Washington Ave., St. Louis, MI 48880 | 2006-09-25 |
| 1598319196 | James H Seals Peter B Tacia & Tad J Bartz Od PC | Optometrist | 235 N Mill St, St Louis, MI 48880 | 2019-07-31 |
| 1922469170 | Justin Michael Elliott | Occupational Therapist | 1149 W Monroe Rd, St. Louis, MI 48880 | 2016-03-16 |
| 1730645052 | Judy L Crockett | Counselor | 115 Chestnut St Apt B, Saint Louis, MI 48880-1308 | 2019-02-11 |
| 1871941880 | Gary Dwayne Tegge | Technician, Other | 616 Maple St, Saint Louis, MI 48880-1335 | 2016-05-31 |
| 1265092589 | Mari I Debolt | Emergency Medical Technician, Basic | 123 N Pine St, Saint Louis, MI 48880-1428 | 2019-06-18 |
| 1013579168 | Mari's Cleaning and Senior Care Services | Home Health | 123 N Pine St, Saint Louis, MI 48880-1428 | 2019-06-28 |
| 1386644839 | Evans Drugs of Saint Louis LLC | Durable Medical Equipment & Medical Supplies | 116 N Mill St, Saint Louis, MI 48880-1521 | 2005-07-27 |
| Find all providers in zip 48880 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154665248 | Institute for Research and Education In Family Medicine | Clinic/Center | 3401 Arsenal St, Saint Louis, MO 63118-2001 | 2012-11-15 |
| 1477867034 | Md2u Missouri LLC | Clinic/Center | 111 W Port Plz, 6th Floor, Saint Louis, MO 63146-3011 | 2010-08-05 |
| 1871817726 | Cornerstone Chiropractic | Clinic/Center | 2115 Barrett Station Rd, Saint Louis, MO 63131-1606 | 2010-03-22 |
| 1124293790 | Z. A. Dalu M.d.,inc | Clinic/Center | 6744 Clayton Rd Ste 305, Saint Louis, MO 63117-1639 | 2008-04-24 |
| 1992721260 | David A Parks, Md, PC | Clinic/Center | 3960 Lindell Blvd, Saint Louis, MO 63108-3204 | 2006-07-13 |
| 1013533181 | Centralwest Immunologic Research Foundation | Clinic/Center | 3960 Lindell Blvd, Saint Louis, MO 63108-3204 | 2020-06-24 |
| 1467089037 | Sure Healthcare Group, LLC | Clinic/Center | 2880 Netherton Dr, Saint Louis, MO 63136-4698 | 2020-03-24 |
| 1326524604 | Daniel D Bekele LLC | Clinic/Center | 6113 Ridge Ave, Saint Louis, MO 63133 | 2018-07-19 |
| 1285160382 | Dr Robin A Kundra Inc | Clinic/Center | 555 N New Ballas Rd, Suite 110, Saint Louis, MO 63141-6825 | 2017-05-10 |
| 1073069522 | Tadros Medical, LLC | Clinic/Center | 9701 Landmark Parkway Dr, Suite 110, Saint Louis, MO 63127-1665 | 2016-08-25 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 48880 |
Please comment or provide details below to improve the information on MI PRIMARY CARE, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.