Beacon Specialized Living Services Inc
Organization Active NPI Family Medicine Physician · Bangor, MI
NPI 1215324876 · NPPES record last updated Jan 27, 2016
Key facts
- NPI
- 1215324876
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BEACON SPECIALIZED LIVING SERVICES INC
- Practice address
- 555 Railroad St
Bangor, MI 49013-1464 - Phone
- (269) 427-8400
- NPI assigned
- Apr 22, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- BEACON SPECIALIZED LIVING SERVICES INC
Authorized official
- Name
- Nathan Ratzlaff
- Title
- Owner
- Phone
- (269) 427-8400
Practitioners 1
National Provider Directory
- Part of
- Beacon Specialized Living Services
Locations
555 Railroad St
Bangor, MI 49013
Phone (269) 427-6171
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Psychiatry Physician |
2084P0800X |
Addresses
Primary practice location
555 Railroad St
Bangor, MI 49013-1464
Mailing address
555 Railroad St
PO Box 69
Bangor, MI 49013-1464
Other providers in Bangor, MI
- Michele E Allen
- Bangor Health Center
- Lindsy Barton
- Beacon Specialized Living Services, Inc.
- BH Chiropractic Clinics, PLLC
- BH Chiropractic Clinics, PLLC
- Jordan Bills
- Kasie M Broe
All providers in Bangor, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.