THIRD AVENUE FAMILY CLINIC, PC – NPI #1619997996
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

THIRD AVENUE FAMILY CLINIC, PC is a provider located in FRUITPORT CHARTER TOWNSHIP, MI. NPPES has assigned the NPI number 1619997996 to THIRD AVENUE FAMILY CLINIC, PC on July 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 15 years ago on May 24, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THIRD AVENUE FAMILY CLINIC, PC below.

NPI Profile for
THIRD AVENUE FAMILY CLINIC, PC

NPI Number
1619997996
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THIRD AVENUE FAMILY CLINIC, PC
Primary location
14 N. THIRD AVE
FRUITPORT CHARTER TOWNSHIP, MI 49415
Phone: (231) 865-3918 Fax: (231) 865-3510
Mailing address
14 N 3RD AVE
FRUITPORT, MI 49415-8920
Phone: (231) 865-3918 Fax: (231) 865-3510
Organization Subpart
No
Authorized Official
JOYCE STAPEL
OFFICE MANAGER
Phone: (231) 865-3918
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.