SANFORD MEDICAL CENTER P C (NPI# 1396850418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396850418 |
| Entity Type | Organization |
| Organization Name | SANFORD MEDICAL CENTER P C |
| Practice Address |
26 E Saginaw Rd Unit 4 Sanford MI 48657-9293 |
| Mailing Address |
3061 Christy Way Saginaw MI 48603-2267 |
| Practice Telephone | 9896877812 |
| Practice Fax Number | 9896877813 |
| Mailing Telephone | 9897912455 |
| Mailing Fax Number | 9897911392 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | HICHAM CHURBAJI (PRESIDENT) |
| Authorized Official Telephone | 9896877812 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4979886 | 05 | |
| MI | 4618015 | 05 |
| Street Address |
26 E SAGINAW RD UNIT 4 |
| City | SANFORD |
| State | MI |
| Zip Code | 48657-9293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083669402 | Nichola K Jardas | Physician Assistant | 26 E Saginaw Rd, Unit 4, Sanford, MI 48657-9293 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528202561 | Heidi Deborah Krenzke | Massage Therapist | 474 Taylor Dr., Sanford, MI 48657 | 2009-04-21 |
| 1356306641 | Michael Dale Bowen | Dentist | 292 E Saginaw Rd, Sanford, MI 48657 | 2006-04-19 |
| 1861827081 | Tina Lynn Kopka | Occupational Therapist | 896 W Lake Forest Dr, Sanford, MI 48657-9126 | 2013-09-06 |
| 1013043413 | Srisai Rx Mart LLC | Pharmacy | 28 W Saginaw Rd, Sanford, MI 48657-9206 | 2007-02-27 |
| 1609864164 | Jennifer Lynn Dear | Family Medicine | 40 W Saginaw Rd, Sanford, MI 48657-9206 | 2005-10-10 |
| 1902234255 | Elizabeth Eva Wright | Physician Assistant | 40 W Saginaw Rd, Sanford, MI 48657-9206 | 2013-10-24 |
| 1619229663 | Midmichigan Medical Center Clare | Clinic/Center | 40 W Saginaw Rd, Sanford, MI 48657-9206 | 2012-10-15 |
| 1265535272 | Tammy Phillips | Family Medicine | 40 W Saginaw Rd, Sanford, MI 48657-9206 | 2006-09-06 |
| 1740621606 | Michael D Bowen Dds PC | Dentist | 292 E Saginaw Rd, Sanford, MI 48657-9220 | 2013-07-08 |
| 1780020057 | Christina M Behring | Dentist | 292 E Saginaw Rd, Sanford, MI 48657-9220 | 2013-05-14 |
| Find all providers in zip 48657 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
| 1821091828 | A Woman's Touch In Healthcare, Inc. | Clinic/Center | 819 West 1st Street, Sanford, FL 32771-1123 | 2005-05-23 |
| 1407348808 | Gentle Roots LLC | Clinic/Center | 111 E 1st St, Sanford, FL 32771-1301 | 2018-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346866167 | God's Path Community Services | Clinic/Center | 2500 Lemay St, Detroit, MI 48214-3146 | 2020-06-17 |
| 1487280681 | Aml Medical Pllc | Clinic/Center | 16584 Westbrook St, Detroit, MI 48219-3870 | 2020-03-19 |
| 1447883053 | Fenton Massage Company | Clinic/Center | 1250 N Leroy St, Fenton, MI 48430-2760 | 2020-02-21 |
| 1275097487 | Harmony Family Center LLC | Clinic/Center | 50 Filer St Ste 324, Manistee, MI 49660-2727 | 2019-01-22 |
| 1619477866 | Nichole Sandoval | Clinic/Center | 1427 Pingree Ave, Lincoln Park, MI 48146-2094 | 2018-02-14 |
| 1457867574 | Physicians Technology, LLC | Clinic/Center | 23 E Front St Ste 200, Monroe, MI 48161-2210 | 2017-12-27 |
| 1497264022 | Vietmdnet | Clinic/Center | 10948 Thornberry Way, Zeeland, MI 49464-7905 | 2017-09-27 |
| 1033634688 | In His Hands Family Chiropractic, Pllc | Clinic/Center | 5236 Dumond Ct, Lansing, MI 48917-6001 | 2017-08-04 |
| 1063952166 | On-demand Scanning LLC | Clinic/Center | 171 Blanche Dr, Troy, MI 48098-2934 | 2017-03-08 |
| 1982146098 | John Patrick Basler | Clinic/Center | 1006 19th St, Bay City, MI 48708-7348 | 2016-11-07 |
| 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.