SUTTONS BAY MEDICAL CLINIC, PLC


Address: 93b Fourth St, Suttons Bay, MI 49682-0397
Phone: 2312715990

SUTTONS BAY MEDICAL CLINIC, PLC (NPI# 1497868111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497868111
Entity Type Organization
Organization Name SUTTONS BAY MEDICAL CLINIC, PLC
Practice Address 93b Fourth St
Suttons Bay
MI 49682-0397
Mailing Address 93b Fourth St
Po Box 397
Suttons Bay
MI 49682-0397
Practice Telephone 2312715990
Practice Fax Number 2312715959
Mailing Telephone 2312715990
Mailing Fax Number 2312715959
Enumeration Date 2006-08-16
Last Update Date 2009-06-24
Authorized Official Name THOMAS G LAMMY (MEMBER)
Authorized Official Telephone 2312715990
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MI 1982653242 05
MI BCBSM 700D510020 01
MI MEDICARE PART B 0N19510 01
MI 1588612972 05
MI BLUE CARE NETWORK 700D510020 01

Office Location

Street Address 93B FOURTH ST
City SUTTONS BAY
State MI
Zip Code 49682-0397

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558913251 Baybrooke Counseling General Practice 421 St. Josephs Ave, Suttons Bay, MI 49682 2019-07-12
1942756259 Aleeah Bebermeyer Physical Therapy Assistant 73 W Fourth St., Sutton Bay, MI 49682 2016-08-28
1619346780 Kathy Ann Bowers Registered Nurse 2300 N. Stallman Rd, Suttons Bay, MI 49682 2015-09-18
1508126517 Grand Traverse Band of Ottawa and Chippewa Indians Clinic/Center 2300 N Stallman Road, Peshawbestown, MI 49682 2012-05-23
1063648491 John Allen Nagel Pharmacist 321 N.st.joseph, Suttons Bay, MI 49682 2009-05-29
1205953395 Mark Hall Hoffman Chiropractor 111 Madison St, Suttons Bay, MI 49682 2007-03-23
1104957109 Lise C. Zahn Physical Therapist 73 Fourth St., Suttons Bay, MI 49682 2007-03-08
1457481251 Andrea Darlene Xaver Pharmacist 321 N. St. Joseph St., Suttons Bay, MI 49682 2007-03-07
1871643858 Steven David Hall Dentist 1299 Southwest Bay Shore Drive, Suttons Bay, MI 49682 2007-01-11
1457441362 Donald R Mileski Pharmacist 321 N Saint Joseph St, Suttons Bay, MI 49682 2006-10-13
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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1386250694 A Better Me Therapy, LLC Clinic/Center 2503 S Linden Rd Ste 259, Flint, MI 48532-5462 2020-09-22
1275148165 Anasthesia Pain Service PC Clinic/Center 15350 Michigan Ave, Dearborn, MI 48126 2020-09-09
1659985042 Passion and Purpose Pediatrics Clinic/Center 2944 Olden Oak Ln Apt 204, Auburn Hills, MI 48326-2177 2020-09-02
1710597745 Renew Child and Family Center Clinic/Center 383 Starkweather St, Plymouth, MI 48170-1382 2020-08-04
1467075358 Shear Pointe Inc Clinic/Center 1971 E 14 Mile Rd, Birmingham, MI 48009-7244 2020-05-26
1992326466 New Healthcare PC Clinic/Center 911 Dix St Ste B, Otsego, MI 49078-1609 2020-05-06
1851920581 Emotional Wellness Group LLC Clinic/Center 11956 E Outer Dr, Detroit, MI 48224-2630 2020-04-04
1003445800 Dr. Chris Popp, PC Clinic/Center 107 Aprill Dr Ste 5, Ann Arbor, MI 48103-1956 2020-04-03
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Competitor

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City SUTTONS BAY
Zip Code 49682

Improve Information

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Dataset Information

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.

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