MCKENZIE MEMORIAL HOSPITAL (NPI# 1497750608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497750608 |
Entity Type | Organization |
Organization Name | MCKENZIE MEMORIAL HOSPITAL |
Other Organization Name | MCKENZIE HEALTH SYSTEM |
Practice Address |
120 N Delaware St Sandusky MI 48471-1009 |
Practice Telephone | 8106486162 |
Practice Fax Number | 8106485058 |
Mailing Telephone | 8106486162 |
Mailing Fax Number | 8106485058 |
Enumeration Date | 2005-06-15 |
Last Update Date | 2020-02-06 |
Authorized Official Name | MRS. AMY RUEDISUELI (V.P. FINANCE) |
Authorized Official Telephone | 8106486162 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | 1060000096 | MI | Allopathic & Osteopathic Physicians |
N | 275N00000X | Medicare Defined Swing Bed Unit | MI06100 | MI | Hospital Units |
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
760030 | MI | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 405171190 | 05 | |
MI | 301555717 | 05 |
Other Name | Type Code |
---|---|
McKenzie Health System | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932747946 | Mckenzie Memorial Hospital | Clinic/Center | 170 W Argyle Street, Sandusky, MI 48471 | 2019-12-20 |
1033271135 | Mckenzie Memorial Hospital | Clinic/Center | 75 Dawson St, Sandusky, MI 48471-3323 | 2006-12-14 |
1831443761 | Mckenzie Memorial Hospital | Internal Medicine | 120 N Delaware St, Sandusky, MI 48471-1009 | 2012-10-30 |
Street Address |
120 N DELAWARE ST |
City | SANDUSKY |
State | MI |
Zip Code | 48471-1009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205321973 | Kristie Lee Morgan | Nurse Practitioner | 120 N Delaware St, Sandusky, MI 48471-1009 | 2018-06-26 |
1679817761 | Angela Stoutenburg - Alaouie LLC | Podiatrist | 120 N Delaware St, Suite 2, Sandusky, MI 48471-1009 | 2012-11-15 |
1831443761 | Mckenzie Memorial Hospital | Internal Medicine | 120 N Delaware St, Sandusky, MI 48471-1009 | 2012-10-30 |
1063571511 | Thomas Bilko | Orthopaedic Surgery | 120 N Delaware St, Sandusky, MI 48471-1009 | 2006-12-08 |
1316024664 | Melinda Lynn Gosdzinski | Registered Nurse | 120 N Delaware St, Sandusky, MI 48471-1009 | 2006-11-01 |
1073546883 | Thomas Lee Donnellon | Surgery | 120 N Delaware St, Sandusky, MI 48471-1009 | 2006-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932747946 | Mckenzie Memorial Hospital | Clinic/Center | 170 W Argyle Street, Sandusky, MI 48471 | 2019-12-20 |
1942792122 | Harmony Elaine Bell | Social Worker | 227 E. Sanilac, Sandusky, MI 48471 | 2018-06-04 |
1093224354 | Elizabeth Westover | Spec/Tech, Health Info | 227 E. Sanilac Rd., Sandusky, MI 48471 | 2017-09-29 |
1821510975 | Robert Elliott Boyle | Dentist | 135 W Sanilac Road, Sandusky, MI 48471 | 2017-07-11 |
1154853596 | Kayla Ann Maurer | Physical Therapy Assistant | 267 E. Sanilac Rd., Sandusky, MI 48471 | 2017-04-03 |
1639569791 | Kayla Lyn Keinath | Technician, Other | 227 E. Sanilac Ave., Sandusky, MI 48471 | 2015-01-28 |
1396141685 | Jillian K Delie-volpe | Case Manager/Care Coordinator | 120 S. Custer Street, Sandusky, MI 48471 | 2014-11-13 |
1841514577 | Women's Integrated Health Care, PC | Obstetrics & Gynecology | 100 W Argyle St, Suite 4, Sandusky, MI 48471 | 2010-03-24 |
1659545127 | Kathy Ann Spiegel | Social Worker | 119 E. Sanilac Rd., Suite 8, Sandusky, MI 48471 | 2008-04-16 |
1386719771 | Shelly Jean Smith | Social Worker | 190 Delaware St., Sandusky, MI 48471 | 2006-11-21 |
Find all providers in zip 48471 |
Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982154365 | Detroit Medical Center | General Acute Care Hospital | 4713 Pond Run, Canton, MI 48188-2196 | 2016-10-10 |
1598147803 | St Joseph Mercy Oakland | General Acute Care Hospital | 874 Golf Dr Apt 101, Pontiac, MI 48341-2394 | 2015-06-23 |
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 |
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.