BEAVER ISLAND RURAL HEALTH CENTER (NPI# 1407828080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407828080 |
| Entity Type | Organization |
| Organization Name | BEAVER ISLAND RURAL HEALTH CENTER |
| Practice Address |
37304 Kings Hwy Beaver Island MI 49782-9792 |
| Practice Telephone | 2314482275 |
| Practice Fax Number | 2314482348 |
| Mailing Telephone | 2314482275 |
| Mailing Fax Number | 2314482348 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2013-01-23 |
| Authorized Official Name | DONNA KUBIC (MANAGING DIRECTOR) |
| Authorized Official Telephone | 2314482275 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1407828080 | 05 |
| Street Address |
37304 KINGS HWY |
| City | BEAVER ISLAND |
| State | MI |
| Zip Code | 49782-9792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455282 | Courtney Deruiter | Dental Hygienist | 37304 Kings Hwy, Beaver Island, MI 49782-5134 | 2020-07-28 |
| 1952321861 | Christie A Vanlooy | Physician Assistant | 37304 Kings Hwy, Beaver Island, MI 49782-5134 | 2006-07-20 |
| 1619931920 | Susan Jane Solle | Nurse Practitioner | 37304 Kings Hwy, Beaver Island, MI 49782-5134 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780148825 | Stephanie Ann Kurburski | Social Worker | Saint Ignace Michigan Hombach Street 49781, Saint Ignace, MI 49782 | 2019-01-23 |
| 1932139201 | Beaver Island Ems | Ambulance | 37865 Kings Highway, Beaver Island, MI 49782 | 2006-07-03 |
| 1134307275 | Wendy Sue White | Dentist | 37304 Kings Highway, Beaver Island, MI 49782-0218 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134307275 | Wendy Sue White | Dentist | 37304 Kings Highway, Beaver Island, MI 49782-0218 | 2008-01-31 |
| 1932139201 | Beaver Island Ems | Ambulance | 37865 Kings Highway, Beaver Island, MI 49782 | 2006-07-03 |
| 1306455282 | Courtney Deruiter | Dental Hygienist | 37304 Kings Hwy, Beaver Island, MI 49782-5134 | 2020-07-28 |
| 1952321861 | Christie A Vanlooy | Physician Assistant | 37304 Kings Hwy, Beaver Island, MI 49782-5134 | 2006-07-20 |
| 1619931920 | Susan Jane Solle | Nurse Practitioner | 37304 Kings Hwy, Beaver Island, MI 49782-5134 | 2006-04-13 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487274940 | Mclaren Central Michigan | Clinic/Center | 2853 Health Pkwy, Mt Pleasant, MI 48858-9374 | 2020-04-24 |
| 1821618687 | Mclaren Central Michigan | Clinic/Center | 3520 N Woodruff Rd, Weidman, MI 48893-7734 | 2020-04-22 |
| 1932747946 | Mckenzie Memorial Hospital | Clinic/Center | 170 W Argyle Street, Sandusky, MI 48471 | 2019-12-20 |
| 1326681461 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14719 W Upright St, Charlevoix, MI 49720-1949 | 2019-10-22 |
| 1881254605 | Schoolcraft Memorial Hospital | Clinic/Center | W11650 Us Highway 2, Naubinway, MI 49762-5116 | 2019-06-14 |
| 1093370264 | Samaritan Health Care, PC | Clinic/Center | 4361 220th Ave, Reed City, MI 49677-8594 | 2019-05-03 |
| 1457916637 | Samaritan Health Care, PC | Clinic/Center | 5916 Us Highway 31 S, Charlevoix, MI 49720-9703 | 2019-05-03 |
| 1033621263 | Caro Community Hospital | Clinic/Center | 345 N State St, Caro, MI 48723-1537 | 2017-10-27 |
| 1275050726 | Hills & Dales General Hospital, Inc. | Clinic/Center | 130 Millwood Street, Caro, MI 48723-1630 | 2017-08-25 |
| 1275932329 | Sturgis Hospital, Inc. | Clinic/Center | 111 S Saint Joseph St, Colon, MI 49040-9342 | 2014-08-14 |
| Find all providers with the same taxonomy | ||||
| City | BEAVER ISLAND |
| Zip Code | 49782 |
Please comment or provide details below to improve the information on BEAVER ISLAND RURAL HEALTH CENTER.
| 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.