MIDMICHIGAN MEDICAL CENTER CLARE (NPI# 1407297104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407297104 |
| Entity Type | Organization |
| Organization Name | MIDMICHIGAN MEDICAL CENTER CLARE |
| Practice Address |
703 N Mcewan St Clare MI 48617-1440 |
| Practice Telephone | 9898025000 |
| Mailing Telephone | 9898025000 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |
| Authorized Official Name | RAYMOND STOVER (PRESIDENT) |
| Authorized Official Telephone | 9898025102 |
| 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 |
|---|---|---|---|---|
| 1619419504 | Midmichigan Medical Center Clare | Nurse Practitioner | 703 N Mcewan St, Clare, MI 48617-1440 | 2016-11-09 |
| 1619229663 | Midmichigan Medical Center Clare | Clinic/Center | 40 W Saginaw Rd, Sanford, MI 48657-9206 | 2012-10-15 |
| 1164736039 | Midmichigan Medical Center Clare | Clinic/Center | 2618 W Sugnet Rd, Midland, MI 48640-2647 | 2010-08-03 |
| 1376872341 | Midmichigan Medical Center Clare | Clinic/Center | 602 Beech St, Clare, MI 48617-1466 | 2009-12-21 |
| 1982933347 | Midmichigan Medical Center Clare | Clinic/Center | 2812 W Cadillac Dr, Farwell, MI 48622-9757 | 2009-12-15 |
| 1073842431 | Midmichigan Medical Center Clare | Clinic/Center | 815 N Clare Ave, Harrison, MI 48625-9194 | 2009-12-15 |
| 1134394026 | Midmichigan Medical Center Clare | Physician Assistant | 703 N Mcewan St, Clare, MI 48617-1440 | 2008-04-23 |
| 1568414589 | Midmichigan Medical Center Clare | General Acute Care Hospital | 703 N Mcewan St, Clare, MI 48617-1440 | 2006-05-17 |
| Street Address |
703 N MCEWAN ST |
| City | CLARE |
| State | MI |
| Zip Code | 48617-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639154768 | Roger Beaudoing | Emergency Medicine | 703 N Mcewan St, Clare, MI 48617-1440 | 2005-12-13 |
| 1710457148 | Jessica Katherine Gust | Physician Assistant | 703 N Mcewan St, Clare, MI 48617-1440 | 2018-11-28 |
| 1801398870 | Marysusan V. Snively | Physical Therapist | 703 N Mcewan St, Clare, MI 48617-1440 | 2018-03-06 |
| 1912419110 | Katherine S Watson | Nurse Practitioner | 703 N Mcewan St, Clare, MI 48617-1440 | 2017-10-27 |
| 1619419504 | Midmichigan Medical Center Clare | Nurse Practitioner | 703 N Mcewan St, Clare, MI 48617-1440 | 2016-11-09 |
| 1013360916 | Midmichigan Medical Center - Clare | Nurse Practitioner | 703 N Mcewan St, Clare, MI 48617-1440 | 2016-07-15 |
| 1083084487 | Calli Cadieu Chouinard | Physician Assistant | 703 N Mcewan St, Clare, MI 48617-1440 | 2015-09-29 |
| 1962888180 | Midmichigan Medical Center - Clare | Emergency Medicine | 703 N Mcewan St, Clare, MI 48617-1440 | 2015-08-11 |
| 1073881629 | Kelly Marie Mathison | Registered Nurse | 703 N Mcewan St, Clare, MI 48617-1440 | 2011-12-11 |
| 1790067619 | Melissa R Bowman | Physician Assistant | 703 N Mcewan St, Clare, MI 48617-1440 | 2011-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538598826 | Katrina Carrigan | Occupational Therapy Assistant | 600 Sw 4th Street, Clare, MI 48617 | 2013-11-06 |
| 1891075073 | Amy Ellen Weber | Nurse Practitioner | 703 Mcewan St., Midmichigan Medical Center, Clare, MI 48617 | 2011-08-19 |
| 1053615708 | Dale J Moser | Eyewear Supplier (Equipment, not the service) | 1520 N Mcewan St, Clare, MI 48617 | 2011-01-10 |
| 1063571719 | Alpha Chiropractic Clinic Inc | Chiropractor | 1424 N Mcewan Street, Clare, MI 48617 | 2006-12-08 |
| 1245324888 | Paula L Myers | Occupational Therapist | 4139 E Coleman Rd, Clare, MI 48617 | 2006-10-03 |
| 1629023403 | Russell Glyn Rader | Nurse Anesthetist, Certified Registered | 703 Mcewan, Clare, MI 48617 | 2006-05-23 |
| 1659330702 | Trisha Anne Mcmillan | Physical Therapist | 107 Schoolcrest, Clare, MI 48617 | 2006-03-18 |
| 1043641541 | Denise Ann Carrier | Licensed Practical Nurse | 810 Cedar St, Clare, MI 48617 | 2013-12-09 |
| 1487876041 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 1432 N Mcewan St, Clare, MI 48617 | 2007-05-03 |
| 1417916560 | Patrick L Howe | Physical Therapist | 107 Schoolcrest, Clare, MI 48617 | 2006-03-18 |
| Find all providers in zip 48617 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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|---|---|---|---|---|
| 1265030068 | Copper Ridge Health PC | Clinic/Center | 4290 Copper Ridge Dr Ste 100, Traverse City, MI 49684-7256 | 2020-10-14 |
| 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.