PROMEDICA CENTRAL CORPORATION OF MICHIGAN (NPI# 1427609312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427609312 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| Practice Address |
6869 S Occidental Rd Tecumseh MI 49286-9784 |
| Mailing Address |
1 Seagate # 800 Toledo OH 43604-1558 |
| Practice Telephone | 5174234777 |
| Practice Fax Number | 5174237257 |
| Mailing Fax Number | 4198247359 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |
| Authorized Official Name | KRISTIN KNUEVEN (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 5675851969 |
| 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 |
| Other Name | Type Code |
|---|---|
| ProMedica Physicians Health Specialists of Lenawee | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588624696 | Promedica Central Corporation of Michigan | Surgery | 1 Seagate # 800, Toledo, OH 43604-1558 | 2006-03-23 |
| 1861958076 | Promedica Central Corporation of Michigan | Podiatrist | 324 E Maumee St, Adrian, MI 49221-2961 | 2019-02-12 |
| Street Address |
6869 S OCCIDENTAL RD |
| City | TECUMSEH |
| State | MI |
| Zip Code | 49286-9784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003870031 | Laurie A Barkway | Emergency Medicine | 6869 S Occidental Rd, Tecumseh, MI 49286-9784 | 2006-04-14 |
| 1134745557 | Rachelle A Vanaken | Nurse Practitioner | 6869 S Occidental Rd, Tecumseh, MI 49286-9784 | 2020-06-22 |
| 1396378881 | Madeline Marie Petee | Nurse Practitioner | 6869 S Occidental Rd, Tecumseh, MI 49286-9784 | 2020-02-13 |
| 1205333689 | Sarah Beaulieu | Nurse Practitioner | 6869 S Occidental Rd, Tecumseh, MI 49286 | 2018-04-11 |
| 1275069957 | Deanna Louise Mcclain | Registered Nurse | 6869 S Occidental Rd, Tecumseh, MI 49286 | 2017-05-02 |
| 1922499789 | Rachael Hiller | Nurse Practitioner | 6869 S Occidental Rd, Tecumseh, MI 49286-9784 | 2015-02-13 |
| 1194133082 | Lora Jeanette Manders | Counselor | 6869 S Occidental Rd, Tecumseh, MI 49286-9784 | 2014-07-24 |
| 1306126206 | Health Specialists of Lenawee | Family Medicine | 6869 S Occidental Rd, Tecumseh, MI 49286-9784 | 2011-08-23 |
| 1598918781 | Linda Sue Klavon | Nurse Practitioner | 6869 S Occidental Rd, Tecumseh, MI 49286-9784 | 2008-10-31 |
| 1467655852 | Kun Li | Family Medicine | 6869 S Occidental Rd, Tecumseh, MI 49286-9784 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649706276 | Shivaay 1 Pllc | Pharmacy | 6869 S Occidental Highway, Tecumseh, MI 49286 | 2017-05-02 |
| 1386073658 | Leslie Ann Kovalski | Counselor | 2698 Burwyn Hills Drive, Tecumseh, MI 49286 | 2013-11-06 |
| 1629347364 | Carol A. Drayton | Social Worker | 308 South Maumee, Tecumseh, MI 49286 | 2011-12-27 |
| 1487931812 | Luann M Hurd | Counselor | 808 E. Chicago Blvd., Suite 14, Tecumseh, MI 49286 | 2011-11-14 |
| 1043596760 | Shawn R Gerrity | Physician Assistant | 501 E. Cummins St, Tecumseh, MI 49286 | 2011-10-26 |
| 1932331386 | Heidi Cunningham Herman | Social Worker | 2558 Dinius Rd, Tecumseh, MI 49286 | 2009-08-19 |
| 1417105560 | Nancy Grace Hornsby | Pharmacist | 2655 W. Chicago Blvd, Tecumseh, MI 49286 | 2008-09-03 |
| 1487822524 | James A Hinesly | Dentist | 126 Herrick Park Dr, Tecumseh, MI 49286 | 2008-02-12 |
| 1548442676 | Tecumseh Chiropractic Center, Incorporated | Chiropractor | 402 East Chicago Blvd., Tecumseh, MI 49286 | 2007-11-30 |
| 1740470509 | Todd Eduard Vonhofe | Chiropractor | 120 North Evans St., Tecumseh, MI 49286 | 2007-07-27 |
| Find all providers in zip 49286 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073865226 | Johnson County Hospital | Clinic/Center | 292 Broadway St, Tecumseh, NE 68450-2455 | 2012-10-12 |
| 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 |
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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.