MIDMICHIGAN HEALTH SERVICES (NPI# 1114278140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114278140 |
| Entity Type | Organization |
| Organization Name | MIDMICHIGAN HEALTH SERVICES |
| Other Organization Name | MIDMICHIGAN MEDICAL OFFICES-BEAVERTON |
| Practice Address |
439 S Ross St Beaverton MI 48612-9101 |
| Mailing Address |
9249 W Lake City Rd Houghton Lake MI 48629-9602 |
| Practice Telephone | 9892463500 |
| Practice Fax Number | 9892463519 |
| Mailing Telephone | 9894225122 |
| Mailing Fax Number | 9894224378 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2014-05-20 |
| Authorized Official Name | JAMES P RASCHKE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9894225122 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MIDMICHIGAN MEDICAL OFFICES-BEAVERTON | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326205907 | Midmichigan Health Services | Clinic/Center | 299 E Sunset Dr, Roscommon, MI 48653-9393 | 2008-05-21 |
| 1316104995 | Midmichigan Health Services | Clinic/Center | 4433 W Houghton Lake Dr, Houghton Lake, MI 48629-9786 | 2008-05-21 |
| 1033768700 | Midmichigan Health Services | Clinic/Center | 112 S 4th St, Ste Medical, Roscommon, MI 48653-8904 | 2019-09-05 |
| 1053791368 | Midmichigan Health Services | Pharmacy | 9249 W Lake City Rd, Houghton Lake, MI 48629-9602 | 2015-06-02 |
| 1982094876 | Midmichigan Health Services | Clinic/Center | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2015-01-29 |
| 1841457314 | Midmichigan Health Services | Clinic/Center | 135 Lake St, Roscommon, MI 48653-7658 | 2008-05-21 |
| 1912998287 | Midmichigan Health Services | Clinic/Center | 9249 W Lake City Rd, Houghton Lake, MI 48629-9602 | 2005-11-04 |
| Street Address |
439 S ROSS ST |
| City | BEAVERTON |
| State | MI |
| Zip Code | 48612-9101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366484271 | Danny D Greig II | Emergency Medicine | 439 S Ross St, Beaverton, MI 48612-9101 | 2006-06-12 |
| 1972073807 | Jenna M Mccummings | Nurse Practitioner | 439 S Ross St, Beaverton, MI 48612-9101 | 2018-12-04 |
| 1982139382 | Cara Lee Crawford-bartle | Family Medicine | 439 S Ross St, Beaverton, MI 48612-9101 | 2017-04-24 |
| 1194174623 | Brooke Illig | Social Worker | 439 S Ross St, Beaverton, MI 48612-9101 | 2016-06-06 |
| 1275936445 | Susan M Knoerr | Nurse Practitioner | 439 S Ross St, Beaverton, MI 48612-9101 | 2014-10-02 |
| 1306186812 | Amanda Lynn Cisse | Social Worker | 439 S Ross St, Beaverton, MI 48612-9101 | 2013-02-20 |
| 1740528900 | Community Mental Health for Central Michigan | Clinic/Center | 439 S Ross St, Beaverton, MI 48612-9101 | 2013-01-23 |
| 1407169832 | Ann Marie Roehrs | Nurse Practitioner | 439 S Ross St, Midmichigan Medical Offices-beaverton, Beaverton, MI 48612-9101 | 2010-07-14 |
| 1346552718 | Vinosha Balakrishnan | Family Medicine | 439 S Ross St, Beaverton, MI 48612-9101 | 2010-07-13 |
| 1356400923 | Steven Woodward Picard | Family Medicine | 439 S Ross St, Beaverton, MI 48612-9101 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457872525 | Candy Rene Simpson | Behavioral Analyst | 385 W Brown St, Beaverton, MI 48612 | 2017-06-29 |
| 1982975397 | Midmichigan Medical Center Gladwin | Clinic/Center | 439 South Ross Street, Beaverton, MI 48612 | 2012-01-17 |
| 1477738961 | Dr. Dale J Moser Od | Eyewear Supplier (Equipment, not the service) | 334 N Ross, Beaverton, MI 48612 | 2008-01-03 |
| 1285186486 | Cheryl Ann Biddinger | Counselor | 201 S Ross St, Beaverton, MI 48612 | 2016-11-04 |
| 1134276371 | Arlene Lynn Krager | Counselor | 201 S Ross St, Beaverton, MI 48612-8113 | 2007-01-03 |
| 1245731280 | Jessica Sullivan | Physical Therapist | 106 Tonkin St, Beaverton, MI 48612-8116 | 2018-02-26 |
| 1497844047 | The Beaverton Pharmacy Inc | Pharmacy | 127 W Brown St, Beaverton, MI 48612-8119 | 2006-10-12 |
| 1760424972 | Richard A Call | Physician Assistant | 129 W Brown St, Beaverton, MI 48612-8119 | 2006-06-12 |
| 1285182899 | Family Health & Wellness P.C. | Physician Assistant | 129 W Brown St, Beaverton, MI 48612-8119 | 2016-09-13 |
| 1952858987 | Family Health & Wellness PC | Clinic/Center | 129 W Brown St, Beaverton, MI 48612-8119 | 2016-09-07 |
| Find all providers in zip 48612 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588061139 | Virginia Garcia Memorial Health Center | Clinic/Center | 13000 Sw 2nd Street, Beaverton, OR 97005-2615 | 2014-11-25 |
| 1548810955 | Neighborhood Health Center | Clinic/Center | 17200 Nw Corridor Ct Ste 110, Beaverton, OR 97006-3295 | 2019-09-17 |
| 1184105082 | Virginia Garcia Memorial Health Center | Clinic/Center | 2725 Sw Cedar Hills Blvd Ste 200, Beaverton, OR 97005-1344 | 2018-08-28 |
| 1649772658 | Virginia Garcia Memorial Health Center | Clinic/Center | 10700 Sw Beaverton Hillsdale Hwy Ste 11, Beaverton, OR 97005-3035 | 2018-03-06 |
| 1376970277 | Virginia Garcia Memorial Health Center | Clinic/Center | 12600 Sw Crescent St, Suite 190, Beaverton, OR 97005-1693 | 2013-10-09 |
| 1902067861 | Virginia Garcia Memorial Health Center | Clinic/Center | 2725 Sw Cedar Hills Blvd Ste 200, Beaverton, OR 97005 | 2008-06-23 |
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|---|---|---|---|---|
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| 1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
| 1326654666 | Family Medical Center of Michigan,inc | Clinic/Center | 550 E Main St Ste 1001, Hudson, MI 49247-9535 | 2020-09-22 |
| 1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
| 1700400389 | Northwest Michigan Health Services, Inc. | Clinic/Center | 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 | 2020-05-30 |
| 1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
| 1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
| 1053948265 | Upper Great Lakes Family Health Center | Clinic/Center | 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 | 2020-03-26 |
| 1568096923 | Grace Health, Inc. | Clinic/Center | 825 Capital Ave Ne, Battle Creek, MI 49017-5605 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.