Provider Demographics
NPI:1083705024
Name:MEDICS PC
Entity Type:Organization
Organization Name:MEDICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:REAMES
Authorized Official - Suffix:JR
Authorized Official - Credentials:PA C
Authorized Official - Phone:989-427-5070
Mailing Address - Street 1:PO BOX 529
Mailing Address - Street 2:
Mailing Address - City:EDMORE
Mailing Address - State:MI
Mailing Address - Zip Code:48829-0529
Mailing Address - Country:US
Mailing Address - Phone:989-427-5070
Mailing Address - Fax:989-427-3690
Practice Address - Street 1:1131 E M-46
Practice Address - Street 2:
Practice Address - City:EDMORE
Practice Address - State:MI
Practice Address - Zip Code:48829-0529
Practice Address - Country:US
Practice Address - Phone:989-427-5070
Practice Address - Fax:989-427-3690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI70-0-E9-6344-0OtherBCBSM GROUP ID #
MI70-0-E9-6344-0OtherBCBSM GROUP ID #