Provider Demographics
NPI:1154808004
Name:FRANKFORT FAMILY CARE
Entity type:Organization
Organization Name:FRANKFORT FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CELINA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:COMER
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:231-882-6186
Mailing Address - Street 1:425 N MICHIGAN AVE STE B
Mailing Address - Street 2:
Mailing Address - City:BEULAH
Mailing Address - State:MI
Mailing Address - Zip Code:49617-9560
Mailing Address - Country:US
Mailing Address - Phone:231-882-6186
Mailing Address - Fax:231-399-0311
Practice Address - Street 1:425 N MICHIGAN AVE STE B
Practice Address - Street 2:
Practice Address - City:BEULAH
Practice Address - State:MI
Practice Address - Zip Code:49617-9560
Practice Address - Country:US
Practice Address - Phone:231-882-6186
Practice Address - Fax:231-399-0311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704297978261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care