Craig K. Matheson, D.o., P.l.l.c., NPI 1205961745
Primary Care Clinic/Center in Scottville, MI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1205961745 |
| NPI Entity Type | Organization |
| Provider Name |
Craig K. Matheson, D.o., P.l.l.c.
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 821 W Us Highway 10 31, Scottville, MI, US |
| Provider Mailing Address | 821 West U.s. Highway 10, Scottville, MI, US, 49454 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. D.O. Craig Kenneth Matheson |
| Official Position | OWNER AND SOLE MEMBER |
| Phone | 231-757-2500 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Primary Care Clinic/Center |
| Classification | |
| Group | |
| License No. | 5101011416 |
| License State | MI |
| Description | Definition to come... |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| CLIA | MI | 23D1038209 | 01 |
| 4615194 | MI | MEDICAID | 05 |
| 0855301234 | MI | BLUE CROSS BLUE SHIELD ID | 01 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| FHIR | https://fhir.healow.com/FHIRServer/fhir/GICAAA/metadata | No | 821 W US Highway 10 31, Scottville, MI, US |
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