Pine Medical Group, P.C.
Clinic/Center, Rural Health in Newaygo, MI. Organization (NPI-2).
NPI number1639314735
StatusActive
Last updated in NPPESDec 4, 2008
Details
- NPI
- 1639314735
- Entity type
- Organization (NPI-2)
- Legal business name
- Pine Medical Group, P.C.
- Organization subpart
- No
- Enumeration date
- Dec 4, 2008
- Last updated
- Dec 4, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | MI | Yes |
| 261QU0200X | Clinic/Center, Urgent Care | – | MI |
Other names
- Urgent Care (Doing Business As)
Practice location
211 W Pine Lake DrNewaygo, MI 49337-8029
Phone 231-652-1631 · Fax 231-652-1733
Mailing address
230 W Oak StFremont, MI 49412-1526
Phone 231-924-4200 · Fax 231-924-4064
Authorized official
Marge Young
Administrator
2319244200
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Rural Health Clinic/Center providers in Newaygo, MI
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.