MIDMICHIGAN MEDICAL CENTER MIDLAND (NPI# 1194265389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194265389 |
| Entity Type | Organization |
| Organization Name | MIDMICHIGAN MEDICAL CENTER MIDLAND |
| Other Organization Name | MIDMICHIGAN MEDICAL CENTER-MT PLEASANT |
| Practice Address |
4851 E Pickard St Mount Pleasant MI 48858-2029 |
| Practice Telephone | 9897751629 |
| Practice Fax Number | 9897751612 |
| Mailing Telephone | 9897751600 |
| Mailing Fax Number | 9897751600 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | JOELLEN EYRE (PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 9896338018 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301011080 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2168313 | 01 |
| Other Name | Type Code |
|---|---|
| MidMichigan Medical Center-Mt Pleasant | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326580143 | Midmichigan Medical Center Midland | Nurse Practitioner | 4000 Wellness Dr, Midland, MI 48670-0001 | 2016-11-10 |
| 1316325954 | Midmichigan Medical Center Midland | Clinic/Center | 3009 N Saginaw Rd, Midland, MI 48640-4555 | 2015-05-15 |
| 1376973149 | Midmichigan Medical Center Midland | Clinic/Center | 4009 Orchard Dr, Midland, MI 48640-6122 | 2013-11-15 |
| 1700227410 | Midmichigan Medical Center Midland | Clinic/Center | 4000 Wellness Dr, Midland, MI 48670-0001 | 2013-07-10 |
| 1730353723 | Midmichigan Medical Center Midland | Radiology | 4005 Orchard Dr, Midland, MI 48670-0001 | 2008-04-22 |
| Street Address |
4851 E PICKARD ST |
| City | MOUNT PLEASANT |
| State | MI |
| Zip Code | 48858-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770517534 | Elie M Obeid | Internal Medicine | 4851 E Pickard St, Mount Pleasant, MI 48858-2078 | 2006-07-10 |
| 1730560970 | Lena Widman | Family Medicine | 4851 E Pickard St, Mount Pleasant, MI 48858 | 2015-06-13 |
| 1013285865 | Midmichigan Medical Center-gratiot | Clinic/Center | 4851 E Pickard St, Mount Pleasant, MI 48858-2078 | 2011-12-08 |
| 1790704674 | Harlow W Beebe | Family Medicine | 4851 E Pickard St, Mount Pleasant, MI 48858-2078 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535067 | Family Tree Maternity Center, LLC | Midwife | 5201 S. Mission Rd., Mt. Pleasant, MI 48858 | 2020-10-14 |
| 1942842471 | Isabella Citizens for Health, Inc. | Pharmacy | 2790 Health Parkway, Mt Pleasant, MI 48858 | 2019-10-16 |
| 1295299279 | Dalten Tyler Simnitch | Student in an Organized Health Care Education/Training Program | 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 | 2019-01-24 |
| 1942773809 | Jordan Lynn Bell | Technician, Other | 798 S Whilteville Rd, Mount Pleasant, MI 48858 | 2019-01-03 |
| 1083183578 | Amanda Danielle Greene | Student in an Organized Health Care Education/Training Program | 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 | 2018-11-14 |
| 1891264388 | Emily Mccullen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1174092662 | Nathaniel Lambie | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1386110872 | Megan Stahl | Social Worker | 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 | 2018-10-23 |
| 1710461090 | Beverly Jean Medford | Custodial Care Facility | 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 | 2018-09-21 |
| 1760976211 | Jen Carlesimo | Behavior Technician | Central Autism Treatment Center, 2520 S. University Park Drive, Building D, Mt. Pleasant, MI 48858 | 2018-06-19 |
| Find all providers in zip 48858 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1285027391 | Ron Group | Pharmacy | 570 Long Point Rd Ste 170, Mount Pleasant, SC 29464-7931 | 2015-03-13 |
| 1285912394 | Roundys Supermarkets Inc | Pharmacy | 2820 S Green Bay Rd, Mount Pleasant, WI 53406-4950 | 2011-07-25 |
| 1396981239 | Moose Drug Company | Pharmacy | 8374 West Franklin Street, Mount Pleasant, NC 28124-0067 | 2008-12-24 |
| 1922257609 | Saginaw Chippewa Indian Tribe | Pharmacy | 2410 S Leaton Rd, Ste 8, Mount Pleasant, MI 48858-8639 | 2008-09-17 |
| 1548277585 | Walgreen Co | Pharmacy | 6125 Durand Ave, Mount Pleasant, WI 53406-4913 | 2006-08-02 |
| 1114442860 | Walgreen Co | Pharmacy | 1799 N Highway 17, Mount Pleasant, SC 29464 | 2017-08-03 |
| 1518321926 | Raven Holdings, LLC | Pharmacy | 953 Houston Northcutt Blvd, Mount Pleasant, SC 29464-3468 | 2016-04-12 |
| 1639562945 | Tidewater Pharmacy & Medical Supply LLC | Pharmacy | 421 Johnnie Dodds Blvd, Ste 100, Mount Pleasant, SC 29464-2689 | 2015-03-11 |
| 1619375839 | Walgreen Co | Pharmacy | 389 Johnnie Dodds Blvd, Mount Pleasant, SC 29464-2932 | 2014-12-22 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 48858 |
Please comment or provide details below to improve the information on MIDMICHIGAN MEDICAL CENTER MIDLAND.
| 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.