Soma Medical Clinic, LLC

Organization Primary Care Clinic/Center · NPI 1952494353

Soma Medical Clinic, LLC is a Primary Care Clinic/Center in South Haven, Michigan. Licensed in Illinois and Michigan. Registered with an NPI since 2006.

Licensed in: IL, MI
In the registry since: 2006
Specialties on file: 2

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

955 S Bailey Ave
South Haven, MI 49090-6743
Phone: (269) 637-5271
Fax: (269) 639-2919

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary)	Taxonomy 282N00000X · Licence 4301102383 (MI)
Primary Care Clinic/Center	Taxonomy 261QP2300X · Licence 042007627 (IL)

Record details

NPI number	1952494353
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Angie Oetman — Medical Staff Coordinator · (269) 639-2807
NPI enumerated	September 30, 2006
Last updated in NPPES	April 22, 2013
Mailing address	955 S Bailey Ave, South Haven, MI 49090-6743