MIDMICHIGAN MEDICAL CENTER- GRATIOT (NPI# 1508800327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508800327 |
Entity Type | Organization |
Organization Name | MIDMICHIGAN MEDICAL CENTER- GRATIOT |
Other Organization Name | GREAT LAKES RENAL NETWORK- GREENVILLE |
Practice Address |
101 S Greenville West Dr Greenville MI 48838-1598 |
Mailing Address |
Po Box 608 Alma MI 48801-0608 |
Practice Telephone | 6162259500 |
Practice Fax Number | 6162259007 |
Mailing Telephone | 9894663349 |
Mailing Fax Number | 9894667454 |
Enumeration Date | 2006-06-15 |
Last Update Date | 2011-11-30 |
Authorized Official Name | MR. VICTOR J MORGAN (V.P. OF FINANCE) |
Authorized Official Telephone | 9894663272 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 403208489 | 05 | |
MI | BCBSM | 00233 | 01 |
Other Name | Type Code |
---|---|
Great Lakes Renal Network- Greenville | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760574883 | Midmichigan Medical Center- Gratiot | Internal Medicine | 300 E. Warwick Drive, Alma, MI 48801 | 2006-09-28 |
1306880687 | Midmichigan Medical Center- Gratiot | Clinic/Center | 404 S Crapo St, Mt Pleasant, MI 48858-2944 | 2006-06-16 |
1356350375 | Midmichigan Medical Center- Gratiot | Pathology | 300 E Warwick Dr, Alma, MI 48801-1014 | 2006-08-07 |
Street Address |
101 S GREENVILLE WEST DR |
City | GREENVILLE |
State | MI |
Zip Code | 48838-1598 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649555897 | Total Renal Care Inc | Clinic/Center | 101 S Greenville West Dr, Greenville, MI 48838-1598 | 2011-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861988743 | Rachel Hoover | Specialist/Technologist | 7481 S Grow Rd, Greenville, MI 48838 | 2018-07-03 |
1043719008 | Courtney Garlanger | Physical Therapist | 2425 W Washington St Suite B, Greenville, MI 48838 | 2018-02-06 |
1487164026 | Clay Street Center | Clinic/Center | 913 S. Clay St., Greenville, MI 48838 | 2017-10-10 |
1922548296 | Maureen Myers | Occupational Therapist | 10131 Connelly Road, Greenville, MI 48838 | 2017-03-06 |
1003204371 | Todd Gerrit Cates | Physical Therapist | 1330 W. Washington, Greenville, MI 48838 | 2015-01-08 |
1285985358 | Kimberly Belle Lavender | Social Worker | 309 1/2 S Lafayette St Ste 202, Greenville, MI 48838 | 2012-09-28 |
1255619912 | Lindsay Joan Weinfurtner | Specialist | 6010 Sipperley Trl, Greenville, MI 48838 | 2011-07-29 |
1699075382 | Jenny Kay Moulds | Pharmacist | 205 South Greenville Dr. W, Greenville, MI 48838 | 2010-10-27 |
1285934471 | Alexander Edward-tapani Cribley | Pharmacist | 10772 West Carson City Road, Greenville, MI 48838 | 2010-10-22 |
1851574990 | Mary Ann Bartman | Physical Therapist | 1330 West Washington, Greenville, MI 48838 | 2007-12-12 |
Find all providers in zip 48838 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
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---|---|---|---|---|
1215404629 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 4309 Ridgecrest Rd Ste 100, Greenville, TX 75402-6003 | 2018-10-24 |
1710460548 | Hunt County Regional Dialysis Center LLC | Clinic/Center | 3301 Ridgecrest Rd Ste 1, Greenville, TX 75402-6251 | 2018-09-07 |
1114290368 | Greenville Dialysis Clinic LLC | Clinic/Center | 220 Howe St, Suite 220a, Greenville, SC 29601-3524 | 2012-02-20 |
1114200607 | Dialysis Newco Inc | Clinic/Center | 1004 Grove Rd, Suite A, Greenville, SC 29605-4602 | 2011-09-21 |
1639470222 | Dsi Greenville, LLC | Clinic/Center | 110 Chalmers Rd, Suite D, Greenville, SC 29605-1351 | 2010-11-12 |
1710205802 | Total Renal Care Inc | Clinic/Center | 297 Pete Hollis Blvd, Greenville, SC 29601-1143 | 2010-05-13 |
1912177072 | Greenville Dialysis Partners, Lp | Clinic/Center | 4309 Ridgecrest Road, Suite 100, Greenville, TX 75402-6004 | 2008-03-05 |
1285746008 | Rcg University Division, Inc. | Clinic/Center | 605 S Academy St, Greenville, SC 29601-2407 | 2006-08-31 |
1093827842 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 350 Paul Stabler Dr, Greenville, AL 36037-3128 | 2006-08-31 |
1306958152 | Rcg Mississippi, Inc. | Clinic/Center | 2001 Medical Park Dr, Greenville, MS 38703-7220 | 2006-08-31 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 48838 |
Please comment or provide details below to improve the information on MIDMICHIGAN MEDICAL CENTER- GRATIOT.
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.