Provider Demographics
NPI:1992868459
Name:PHYSICIAN COVERAGE SERVICES
Entity Type:Organization
Organization Name:PHYSICIAN COVERAGE SERVICES
Other - Org Name:MICHIGAN HEALTH SPECIALIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KROMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-235-2004
Mailing Address - Street 1:2700 ROBERT T LONGWAY BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-2190
Mailing Address - Country:US
Mailing Address - Phone:810-235-2004
Mailing Address - Fax:
Practice Address - Street 1:2444 E HILL RD STE C
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-5098
Practice Address - Country:US
Practice Address - Phone:810-695-9270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty