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Organization Active NPI Preferred Provider Organization · Gwinn, MI
NPI 1710209101 · NPPES record last updated Feb 25, 2010
Key facts
- NPI
- 1710209101
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Preferred Provider Organization 305R00000X
- License
- AF520238291 (MI)
- Legal business name
- BARABE HOME
- Practice address
- 156 Miller Rd
Gwinn, MI 49841-8740 - Phone
- (906) 249-8916
- NPI assigned
- Feb 25, 2010
- Organization subpart
- No
Authorized official
- Name
- Ms. Terrie Ann Lahti, STATE LICENSE
- Title
- Owner/ Primary Care Provider
- Phone
- (906) 249-8916
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | AF520238291 | MI | Yes |
Addresses
Primary practice location
156 Miller Rd
Gwinn, MI 49841-8740
Mailing address
156 Miller Rd
Gwinn, MI 49841-8740
Phone (906) 249-8916
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AF520238291 | Other | MI | STATE OF MICH. DEPT. OF HUMAN SERVICES |
Other providers in Gwinn, MI
- Zackery Robert Acton
- Mabel A Adams
- Christie Kathlene Alderton
- Mitzi Colleen Amelon
- Stacey Andresen
- Lynn M Barry
- Mark William Breit
- Ashley Jean Brintlinger
- Kimberly Sue Browning
- Gwendolyn Joy Buck
All providers in Gwinn, MI · Preferred Provider Organization in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2010. 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.