OrganizationBrookside Health Center PcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address8790 Telegraph Rd, Taylor, MI 48180-2491(313) 295-2520PECOS EnrollmentBased on the most recent information from CMS, provider Brookside Health Center Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1407033848Provider TypeOrganizationFull NameBrookside Health Center PcSubpartNoEnumeration Date1/29/2008Last Updated1/30/2008Contact InformationPractice LocationPractice Address8790 Telegraph Rd, Taylor, MI 48180-2491Phone(313) 295-2520Fax(313) 295-7310Mailing LocationMailing Address8790 Telegraph Rd, Taylor, MI 48180-2491Phone(313) 295-2520Fax(313) 295-7310Authorized OfficialNameSaffer, Saffer B (Ceo)Phone(313) 581-2600Provider TaxonomiesCodeDescriptionLicenseCode207RR0500XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID0H20218DescriptionOtherIssuerBCBSMMichigan