Active NPI
Allegan Medical Clinic, P.C.
- Multi-Specialty Clinic/Center
- Allegan, MI
National Provider Identifier
1215928155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0Z36002 | Other | MI | BCBS MI GROUP # |
| G00149 | Other | MI | BCN GROUP # |
National Provider Directory
National Provider DirectoryLocations
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.