OrganizationActive
Creekside Manor
NPI 1073051264 · Exclusive Provider Organization · Big Rapids, MI
Provider details
- NPI number
- 1073051264
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Michael Chaffee, Owner(231) 796-6131
- License
- AM540070004 (MI)
Specialties & taxonomies
Managed Care Organizations
Practice location
17460 12 Mile Rd
Big Rapids, MI 49307-9554
Phone: (231) 796-6131
Approximate (ZIP-level) locationGet directions
Mailing address
17460 12 Mile Rd
Big Rapids, MI 49307-9554
Registry dates
- Enumerated
- 2017-02-07
- Last updated
- 2017-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.