Organization Active NPI

Allegan Medical Clinic, P.C.

  • Multi-Specialty Clinic/Center
  • Allegan, MI
National Provider Identifier
1215928155
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ALLEGAN MEDICAL CLINIC, P.C.
Practice address
551 Linn St
Allegan, MI 49010-1595
Phone
(269) 686-5800
Fax
(269) 686-5896
NPI assigned
Oct 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Betty McDaniel
Title
Practice Administrator
Phone
(269) 686-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

551 Linn St
Allegan, MI 49010-1595

Mailing address

551 Linn St
Allegan, MI 49010-1595
Phone (269) 686-5800

Other identifiers 2

IdentifierTypeStateIssuer
0Z36002OtherMIBCBS MI GROUP #
G00149OtherMIBCN GROUP #

National Provider Directory

National Provider Directory

Locations

551 Linn St
Ste 140
Allegan, MI 49010
Phone (616) 673-8402

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1215928155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 LINN ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101595",
            "telephone_number": "269-686-5800",
            "fax_number": "269-686-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 LINN ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101595",
            "telephone_number": "269-686-5800",
            "fax_number": "269-686-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGAN MEDICAL CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "269-686-5888"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI GROUP #",
            "identifier": "0Z36002",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GROUP #",
            "identifier": "G00149",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allegan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.