Provider Demographics
NPI:1659595965
Name:MEDICS P.C.
Entity Type:Organization
Organization Name:MEDICS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:REAMES
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:989-967-3300
Mailing Address - Street 1:209 W WHEATLAND
Mailing Address - Street 2:PO BOX 315
Mailing Address - City:REMUS
Mailing Address - State:MI
Mailing Address - Zip Code:49340-0315
Mailing Address - Country:US
Mailing Address - Phone:989-967-3300
Mailing Address - Fax:989-967-3430
Practice Address - Street 1:209 W WHEATLAND
Practice Address - Street 2:
Practice Address - City:REMUS
Practice Address - State:MI
Practice Address - Zip Code:49340-0315
Practice Address - Country:US
Practice Address - Phone:989-967-3300
Practice Address - Fax:989-967-3430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601001291261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI70-0-E9-6344-0OtherBCBSM GROUP ID#
MI233858Medicare Oscar/Certification