MIDMICHIGAN MEDICAL CENTER-GLADWIN (NPI# 1235248071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235248071 |
Entity Type | Organization |
Organization Name | MIDMICHIGAN MEDICAL CENTER-GLADWIN |
Practice Address |
515 Quarter St Gladwin MI 48624-1959 |
Practice Telephone | 9894269286 |
Mailing Telephone | 9894269286 |
Enumeration Date | 2006-08-29 |
Last Update Date | 2015-12-02 |
Authorized Official Name | RAY STOVER (PRESIDENT) |
Authorized Official Telephone | 9892466203 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
260011 | MI | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1557883 | 05 | |
MI | 5170676 | 05 | |
MI | BCBSM | 00128 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508993361 | Midmichigan Medical Center-gladwin | Internal Medicine | 515 Quarter Street, Gladwin, MI 48624-1959 | 2007-02-28 |
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 |
1205277910 | Midmichigan Medical Center Gladwin | Clinic/Center | 515 Quarter St, Gladwin, MI 48624-1959 | 2013-07-10 |
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 |
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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 | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609182013 | Midmichigan Medical Center Gladwin | General Acute Care Hospital | 515 Quarter St, Gladwin, MI 48624-1959 | 2010-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982154365 | Detroit Medical Center | General Acute Care Hospital | 4713 Pond Run, Canton, MI 48188-2196 | 2016-10-10 |
1598147803 | St Joseph Mercy Oakland | General Acute Care Hospital | 874 Golf Dr Apt 101, Pontiac, MI 48341-2394 | 2015-06-23 |
1821415811 | Harbor Beach Community Hospital Inc | General Acute Care Hospital | 204 S Huron Ave, Harbor Beach, MI 48441 | 2014-03-27 |
1346590882 | Aspirus Ontonagon Hospital, Inc | General Acute Care Hospital | 601 S Seventh St, Ontonagon, MI 49953-1448 | 2012-09-12 |
1831454222 | Botsford Hospital | General Acute Care Hospital | 28050 Grand River Ave., Farmington Hills, MI 48336-5919 | 2012-07-11 |
1255611497 | Henryford Health System | General Acute Care Hospital | 34824 Birchgrove Dr, H, Sterling Heights, MI 48312-4744 | 2011-08-19 |
1992919336 | Francine Greenfield D.d.s., F.a.g.d.corp. | General Acute Care Hospital | 800 W Long Lake Rd, Suite #145, Bloomfield Hills, MI 48302-2056 | 2007-05-09 |
1770615668 | Pontiac Osteopathic Hospital | General Acute Care Hospital | 50 N Perry St., Pontiac, MI 48342-2253 | 2007-03-09 |
1275695850 | John Dingell Medical Center | General Acute Care Hospital | 14153 Warwick St, Detroit, MI 48223-2950 | 2006-12-14 |
1497820526 | Emergency Care Specialists PC | General Acute Care Hospital | 4100 Embassy Dr Se Ste 201, Grand Rapids, MI 49546-2416 | 2006-11-22 |
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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.