MIDMICHIGAN MEDICAL CENTER GLADWIN (NPI# 1205277910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205277910 |
| Entity Type | Organization |
| Organization Name | MIDMICHIGAN MEDICAL CENTER GLADWIN |
| Practice Address |
515 Quarter St Gladwin MI 48624-1959 |
| Practice Telephone | 9892466201 |
| Mailing Telephone | 9892466201 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |
| Authorized Official Name | RAYMOND STOVER (PRESIDENT) |
| Authorized Official Telephone | 9892466201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
MI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982975397 | Midmichigan Medical Center Gladwin | Clinic/Center | 439 South Ross Street, Beaverton, MI 48612 | 2012-01-17 |
| 1861934689 | Midmichigan Medical Center Gladwin | Nurse Practitioner | 515 Quarter St, Gladwin, MI 48624-1959 | 2016-11-10 |
| 1982098505 | Midmichigan Medical Center Gladwin | Nurse Practitioner | 515 Quarter St, Gladwin, MI 48624-1959 | 2015-03-20 |
| 1558790162 | Midmichigan Medical Center Gladwin | Clinic/Center | 640 Court St, West Branch, MI 48661-9390 | 2013-11-04 |
| 1619311891 | Midmichigan Medical Center Gladwin | Clinic/Center | 609 Quarter St, Gladwin, MI 48624-1941 | 2013-04-18 |
| 1427304922 | Midmichigan Medical Center Gladwin | Clinic/Center | 640 Court Street, West Branch, MI 48661-0001 | 2012-08-02 |
| 1609182013 | Midmichigan Medical Center Gladwin | General Acute Care Hospital | 515 Quarter St, Gladwin, MI 48624-1959 | 2010-08-23 |
| 1093044067 | Midmichigan Medical Center Gladwin | Clinic/Center | 609 Quarter St, Gladwin, MI 48624-1941 | 2009-12-21 |
| 1265609705 | Midmichigan Medical Center Gladwin | General Acute Care Hospital | 515 Quarter St, Gladwin, MI 48624-1959 | 2008-05-14 |
| 1881869774 | Midmichigan Medical Center Gladwin | Clinic/Center | 515 Quarter St, Gladwin, MI 48624-1959 | 2008-04-23 |
| Street Address |
515 QUARTER ST |
| City | GLADWIN |
| State | MI |
| Zip Code | 48624-1959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821042094 | Luis A Trujillo | Emergency Medicine | 515 Quarter St, Gladwin, MI 48624-1959 | 2006-05-20 |
| 1861934689 | Midmichigan Medical Center Gladwin | Nurse Practitioner | 515 Quarter St, Gladwin, MI 48624-1959 | 2016-11-10 |
| 1154774909 | Midmichigan Medical Center - Gladwin | Nurse Practitioner | 515 Quarter St, Gladwin, MI 48624-1959 | 2016-07-18 |
| 1073999298 | Midmichigan Medical Center - Gladwin | Emergency Medicine | 515 Quarter St, Gladwin, MI 48624-1959 | 2015-08-11 |
| 1982098505 | Midmichigan Medical Center Gladwin | Nurse Practitioner | 515 Quarter St, Gladwin, MI 48624-1959 | 2015-03-20 |
| 1134542145 | Kourtney Cingano | Occupational Therapist | 515 Quarter St, Gladwin, MI 48624-1959 | 2014-01-27 |
| 1609182013 | Midmichigan Medical Center Gladwin | General Acute Care Hospital | 515 Quarter St, Gladwin, MI 48624-1959 | 2010-08-23 |
| 1437390754 | Michigan Emergency Physicians LLP | Emergency Medicine | 515 Quarter St, Gladwin, MI 48624-1959 | 2009-03-17 |
| 1265609705 | Midmichigan Medical Center Gladwin | General Acute Care Hospital | 515 Quarter St, Gladwin, MI 48624-1959 | 2008-05-14 |
| 1881869774 | Midmichigan Medical Center Gladwin | Clinic/Center | 515 Quarter St, Gladwin, MI 48624-1959 | 2008-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558889162 | Jacob Cameron Shell | Specialist/Technologist | 4403 Betty Lee Blvd, Gladwin, MI 48624 | 2017-09-03 |
| 1750704268 | Monica Maebel Weaver | Licensed Practical Nurse | 1426 North St. Street, Affordable Nursing Inc, Gladwin, MI 48624 | 2014-02-04 |
| 1417397407 | Richard Allen White | Registered Nurse | 655 East Cedar Avenue, Gladwin, MI 48624 | 2013-07-05 |
| 1023453040 | Amy Rebecca Brockschmidt | Counselor | Ten16 Recovery Network, 1302 Chatterton St. 2, Gladwin, MI 48624 | 2013-05-03 |
| 1447558341 | Erika Dianis | Psychologist | 655 E. Cedar Ave., Gladwin, MI 48624 | 2011-03-02 |
| 1457519456 | Bont & Medical Products Inc | Durable Medical Equipment & Medical Supplies | 895 N M18 Suite 2, Gladwin, MI 48624 | 2008-05-27 |
| 1346424454 | Regional Dialysis Services Inc | Clinic/Center | 673 Quarter Street, Gladwin, MI 48624 | 2007-12-26 |
| 1548476070 | Sambamurti . Srinivasan | Family Medicine | 602 Riverview Ct, Gladwin, MI 48624 | 2007-05-14 |
| 1295957850 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 1234 W Cedar Ave, Gladwin, MI 48624 | 2007-05-03 |
| 1710063755 | Janet Flynn | Registered Nurse | 1207 N Spring St, Gladwin, MI 48624 | 2006-10-31 |
| Find all providers in zip 48624 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1043705163 | Elite Medical Diagnostics LLC | Clinic/Center | 30700 Telegraph Rd Ste 1536, Bingham Farms, MI 48025-4590 | 2018-07-01 |
| 1275022980 | Bellin Health Iron Mountain Inc | Clinic/Center | 440 Woodward Ave Ste A, Iron Mountain, MI 49801-4631 | 2018-05-08 |
| 1114416906 | Bellin Health Iron Mountain Inc | Clinic/Center | 2845 Highway Us2 and 41, Suite 202, Bark River, MI 49807 | 2018-05-07 |
| 1972092831 | Bellin Health Iron Mountain Inc | Clinic/Center | 2001 Minneapolis Ave Ste D, Gladstone, MI 49837-2060 | 2018-05-07 |
| 1437676871 | Diagnostic Solutions Pllc | Clinic/Center | 29877 Telegraph Rd Ste 400b, Southfield, MI 48034-7661 | 2017-08-25 |
| 1659769867 | Pavilion Imaging, LLC | Clinic/Center | 29201 Telegraph Rd Ste L-01, Southfield, MI 48034-1301 | 2014-12-23 |
| 1194143982 | Hurley Medical Center | Clinic/Center | 5494 S Dort Hwy, Flint, MI 48507-4483 | 2014-03-31 |
| 1003105420 | Envision Diagnostic Ultrasound Imaging LLC | Clinic/Center | 2715 Seneca St, Flint, MI 48504-5106 | 2011-04-06 |
| 1174848600 | Professional Diagnostic Imagiging Pllc | Clinic/Center | 4284 Echo Rd, Bloomfield Hills, MI 48302-1943 | 2010-03-27 |
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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.