MIDMICHIGAN MEDICAL CENTER-GRATIOT (NPI# 1538301668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538301668 |
| Entity Type | Organization |
| Organization Name | MIDMICHIGAN MEDICAL CENTER-GRATIOT |
| Practice Address |
121 N Pine River St Ithaca MI 48847-1039 |
| Practice Telephone | 9898755111 |
| Practice Fax Number | 9898755023 |
| Mailing Telephone | 9898755111 |
| Mailing Fax Number | 9898755023 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2013-01-30 |
| Authorized Official Name | MARK A SANTAMARIA (PRESIDENT/CEO) |
| Authorized Official Telephone | 9894663258 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDMICHIGAN MEDICAL CENTER - GRATIOT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568914422 | Midmichigan Medical Center-gratiot | Emergency Medicine | 300 E Warwick Dr, Alma, MI 48801-1014 | 2016-10-26 |
| 1457717787 | Midmichigan Medical Center-gratiot | Pharmacy | 300 E Warwick Dr, Alma, MI 48801-1014 | 2015-12-31 |
| 1508137910 | Midmichigan Medical Center-gratiot | Clinic/Center | 1750 E Bellows St, Suite E, Mt Pleasant, MI 48858-3872 | 2012-01-17 |
| 1386912152 | Midmichigan Medical Center-gratiot | Clinic/Center | 1621 E Broomfield St, Suite C, Mt Pleasant, MI 48858-5427 | 2011-12-08 |
| 1962770693 | Midmichigan Medical Center-gratiot | Clinic/Center | 7320 N Alger Rd, Suite G, Alma, MI 48801-1072 | 2011-12-08 |
| 1013285865 | Midmichigan Medical Center-gratiot | Clinic/Center | 4851 E Pickard St, Mount Pleasant, MI 48858-2078 | 2011-12-08 |
| 1568746386 | Midmichigan Medical Center-gratiot | Clinic/Center | 1750 E Bellows St, Suite B, Mount Pleasant, MI 48858-3872 | 2011-09-29 |
| 1912281734 | Midmichigan Medical Center-gratiot | Clinic/Center | 200 E Warwick Dr, Alma, MI 48801-1012 | 2011-09-29 |
| 1194968511 | Midmichigan Medical Center-gratiot | Clinic/Center | 330 E Warwick Dr, Alma, MI 48801-1014 | 2009-04-15 |
| 1790928240 | Midmichigan Medical Center-gratiot | Clinic/Center | 321 E Warwick Dr, Alma, MI 48801-1084 | 2009-04-14 |
| Street Address |
121 N PINE RIVER ST |
| City | ITHACA |
| State | MI |
| Zip Code | 48847-1039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376580175 | Michael Stack Md PC | Family Medicine | 121 N Pine River St, Ithaca, MI 48847-1039 | 2006-06-01 |
| 1043704133 | Cora J Pavlik | Nurse Practitioner | 121 N Pine River St, Ithaca, MI 48847-1039 | 2018-06-21 |
| 1497900591 | Crystal Morrissey | Physician Assistant | 121 N Pine River St, Ithaca, MI 48847-1039 | 2008-11-18 |
| 1932146685 | Michael Andrew Stack | Family Medicine | 121 N Pine River St, Ithaca, MI 48847-1039 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055380 | Palmer's Place Inc | Custodial Care Facility | 1009 S. St. Johns Rd, Ithaca, MI 48847 | 2020-02-17 |
| 1851656326 | Kalpesh P Lad | Pharmacist | 1010 East Center St, Ithaca, MI 48847 | 2012-07-10 |
| 1609139302 | Brian Joseph Putman | Dentist | 610 N. Pine River St., Ithaca, MI 48847 | 2012-06-19 |
| 1265544423 | John N Allen | Optometrist | 531 E Center, Ithaca, MI 48847 | 2006-08-31 |
| 1386688604 | Darren M Riopelle Dds | Dentist | 108 South Main Street, Ithaca, MI 48847 | 2006-06-16 |
| 1518933100 | Hal A Williams | Family Medicine | 114 North Main St, Ithaca, MI 48847 | 2006-02-24 |
| 1841541844 | Jenna Putman | Dentist | 610 N Pine River St, Ithaca, MI 48847 | 2012-10-01 |
| 1083903991 | Beth M Johnson | Pharmacist | 1010 East Center Street, Ithaca, MI 48847 | 2011-03-31 |
| 1972578862 | Russell J Anderson | Family Medicine | 114 N Main St, Ithaca, MI 48847 | 2006-02-22 |
| 1003881053 | Hallie J Wilson | Family Medicine | 114 N Main St, Ithaca, MI 48847 | 2006-02-22 |
| Find all providers in zip 48847 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386930956 | Midmichigan Medical Center - Gratiot | Clinic/Center | 820 N Pine River St, Ithaca, MI 48847-1118 | 2011-06-22 |
| 1770553547 | Sparrow Carson Hospital | Clinic/Center | 114 N Main St, Ithaca, MI 48847 | 2006-01-25 |
| 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 | ||||
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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.