C R Alderdice D O
Family Medicine in Saint Joseph, MI. Organization (NPI-2).
NPI number1972807147
StatusActive
Last updated in NPPESJan 3, 2011
Details
- NPI
- 1972807147
- Entity type
- Organization (NPI-2)
- Legal business name
- C R Alderdice D O
- Organization subpart
- No
- Enumeration date
- Jan 3, 2011
- Last updated
- Jan 3, 2011
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 |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 5101008526 | MI | Yes |
Practice location
1906 Langley AveSaint Joseph, MI 49085-1739
Phone 269-982-1722
Mailing address
1906 Langley AveSaint Joseph, MI 49085-1739
Phone 269-982-1722
Authorized official
Charles Alderdice
Physician
2699821722
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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.
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All 34 Family Medicine Physician providers in Saint Joseph · All 1,334 providers in Saint Joseph
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