EATON RAPIDS MEDICAL CENTER (NPI# 1417044660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417044660 |
| Entity Type | Organization |
| Organization Name | EATON RAPIDS MEDICAL CENTER |
| Other Organization Name | EATON RAPIDS COMMUNITY HOSPITAL |
| Practice Address |
1500 S Main St Eaton Rapids MI 48827-1952 |
| Practice Telephone | 5176632671 |
| Practice Fax Number | 5176632472 |
| Mailing Telephone | 5176632671 |
| Mailing Fax Number | 5176632472 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2013-12-04 |
| Authorized Official Name | MR. TIMOTHY J. JOHNSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5176639474 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
230010 | MI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE PTAN | OB37608 | 01 |
| MI | 5170569 | 05 | |
| MI | BLUE CROSS | 00197 | 01 |
| MI | BCBS GROUP PIN | OB37608 | 01 |
| Other Name | Type Code |
|---|---|
| Eaton Rapids Community Hospital | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437383296 | Eaton Rapids Medical Center | Family Medicine | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2009-05-08 |
| 1588810709 | Eaton Rapids Medical Center | Clinic/Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2008-08-08 |
| 1922267533 | Eaton Rapids Medical Center | General Acute Care Hospital | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2008-06-09 |
| 1629294046 | Eaton Rapids Medical Center | Medicare Defined Swing Bed Unit | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2007-04-17 |
| 1679623904 | Eaton Rapids Medical Center | Anesthesiology | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2007-01-11 |
| 1730237165 | Eaton Rapids Medical Center | Emergency Medicine | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2007-01-08 |
| 1972651594 | Eaton Rapids Medical Center | Anesthesiology | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2007-01-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EATON RAPIDS MEDICAL CENTER | 1500 S Main St, Eaton Rapids, MI 48827-1952 |
| Street Address |
1500 S MAIN ST |
| City | EATON RAPIDS |
| State | MI |
| Zip Code | 48827-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803087 | Tess Marie Powell | Nurse Practitioner | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2020-08-27 |
| 1982229837 | Catherine D Asteriou | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2020-06-16 |
| 1306467238 | Mclaren Central Michigan | Clinic/Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2020-05-01 |
| 1295203743 | Cosette Weaver | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2018-11-02 |
| 1730660689 | Laura Squier | Occupational Therapist | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-08-28 |
| 1861986317 | Matthew Weber Austin | Counselor | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-06-19 |
| 1447742465 | Meggen M Baynes | Nurse Practitioner | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-06-05 |
| 1750883625 | Jessica Mae Seguin | Speech-Language Pathologist | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-03-06 |
| 1912409376 | Staci Feldpausch | Physical Therapy Assistant | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-03-01 |
| 1750882312 | Blake Mueller | Physical Therapist | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538399837 | Suzanne T O'rourke | Nurse Practitioner | 101 Spicerville Hwy, Eaton Rapids, MI 48827 | 2009-07-21 |
| 1831300706 | Wilson Homes, Inc. | Custodial Care Facility | 4511 Mills Hwy, Eaton Rapids, MI 48827 | 2007-05-24 |
| 1245370238 | Dianne Lynn Vanaken | Pharmacist | 122-124 S Main, Eaton Rapids, MI 48827 | 2007-02-07 |
| 1669562542 | Diane Jill Shawa | Pharmacy Technician | 1411 S. Main St., Eaton Rapids, MI 48827 | 2006-10-13 |
| 1417913104 | Jonathan Paul Wulff | Family Medicine | 1501 Kyle Street, Eaton Rapids, MI 48827 | 2006-04-22 |
| 1821648056 | Gina Marie Christopherson | Behavioral Analyst | 2549 Jolly Rd, Lansing, MI 48827 | 2019-09-19 |
| 1649750118 | Kahley Emens | Physical Therapist | 1415 S Main St Ste B, Eaton Rapids, MI 48827 | 2018-08-15 |
| 1285824805 | Paul D Hankenson Do PC | General Practice | 1501 Kyle Street, Eaton Rapids, MI 48827 | 2007-07-30 |
| 1487893665 | Teresa Gwen Miller | Physical Therapy Assistant | 118 Lansing St, Eaton Rapids, MI 48827-1024 | 2009-02-12 |
| 1295875284 | Central Pharmacy- Eaton Rapids, LLC | Pharmacy | 122-124 S Main Street, Eaton Rapids, MI 48827-1068 | 2007-02-07 |
| Find all providers in zip 48827 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
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| 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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| City | EATON RAPIDS |
| Zip Code | 48827 |
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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.