MIDMICHIGAN MEDICAL CENTER GLADWIN (NPI# 1558790162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558790162 |
| Entity Type | Organization |
| Organization Name | MIDMICHIGAN MEDICAL CENTER GLADWIN |
| Other Organization Name | MIDMICHIGAN HEALTH PARK - WEST BRANCH |
| Practice Address |
640 Court St West Branch MI 48661-9390 |
| Practice Telephone | 9893458120 |
| Mailing Telephone | 9893458120 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Authorized Official Name | RAYMOND STOVER (PRESIDENT) |
| Authorized Official Telephone | 9892466201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MidMichigan Health Park - West Branch | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982975397 | Midmichigan Medical Center Gladwin | Clinic/Center | 439 South Ross Street, Beaverton, MI 48612 | 2012-01-17 |
| 1861934689 | Midmichigan Medical Center Gladwin | Nurse Practitioner | 515 Quarter St, Gladwin, MI 48624-1959 | 2016-11-10 |
| 1982098505 | Midmichigan Medical Center Gladwin | Nurse Practitioner | 515 Quarter St, Gladwin, MI 48624-1959 | 2015-03-20 |
| 1205277910 | Midmichigan Medical Center Gladwin | Clinic/Center | 515 Quarter St, Gladwin, MI 48624-1959 | 2013-07-10 |
| 1619311891 | Midmichigan Medical Center Gladwin | Clinic/Center | 609 Quarter St, Gladwin, MI 48624-1941 | 2013-04-18 |
| 1427304922 | Midmichigan Medical Center Gladwin | Clinic/Center | 640 Court Street, West Branch, MI 48661-0001 | 2012-08-02 |
| 1609182013 | Midmichigan Medical Center Gladwin | General Acute Care Hospital | 515 Quarter St, Gladwin, MI 48624-1959 | 2010-08-23 |
| 1093044067 | Midmichigan Medical Center Gladwin | Clinic/Center | 609 Quarter St, Gladwin, MI 48624-1941 | 2009-12-21 |
| 1265609705 | Midmichigan Medical Center Gladwin | General Acute Care Hospital | 515 Quarter St, Gladwin, MI 48624-1959 | 2008-05-14 |
| 1881869774 | Midmichigan Medical Center Gladwin | Clinic/Center | 515 Quarter St, Gladwin, MI 48624-1959 | 2008-04-23 |
| Street Address |
640 COURT ST |
| City | WEST BRANCH |
| State | MI |
| Zip Code | 48661-9390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205823861 | Michael E Burkley | Family Medicine | 640 Court St, West Branch, MI 48661-9390 | 2005-09-29 |
| 1083220388 | Shelby Miller | Nurse Practitioner | 640 Court St, West Branch, MI 48661-9390 | 2020-09-22 |
| 1942630140 | Jessica Quigley | Nurse Practitioner | 640 Court St, West Branch, MI 48661-9390 | 2013-11-25 |
| 1376986489 | Midmichigan Urgent Care West Branch | Clinic/Center | 640 Court St, West Branch, MI 48661-9390 | 2013-04-09 |
| 1801175286 | Jeffery Filter | Physician Assistant | 640 Court St, West Branch, MI 48661 | 2011-08-16 |
| 1992894208 | Beth Anne Stark | Social Worker | 640 Court St, West Branch, MI 48661-9390 | 2006-10-12 |
| 1447276167 | David Rex Hunter | Internal Medicine | 640 Court St, West Branch, MI 48661 | 2006-07-14 |
| 1497736342 | Vickie Lynn Bannister | Nurse Practitioner | 640 Court St, West Branch, MI 48661-9390 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992226773 | Linda Loou Thopmson | Registered Nurse | 335 E. Houghton Ave., West Branch, MI 48661 | 2017-06-30 |
| 1831559103 | Lisa J. Gutierrez | Counselor | 105 N. 3rd St., Ste 6, West Branch, MI 48661 | 2016-03-01 |
| 1497185383 | Linda Joy Latulip | Social Worker | 445 S. Valley, West Branch, MI 48661 | 2013-11-14 |
| 1376973289 | Patricia Woelke | Occupational Therapist | 335 East Houghton, West Branch, MI 48661 | 2013-11-14 |
| 1760731012 | Lucas John Wyzlic | Physician Assistant | 621 Court Street, Suite 104, West Branch, MI 48661 | 2012-08-31 |
| 1225312234 | Mark Bedtelyon | Pharmacist | 2480 E Houghton Ave, West Branch, MI 48661 | 2011-10-10 |
| 1790016632 | Stephanie M Witte-mason | Chiropractor | 2333 S M 76, West Branch, MI 48661 | 2010-01-15 |
| 1578798997 | Michael Robert Munger | Dietitian, Registered | 2897 Amanda Ct., West Branch, MI 48661 | 2009-05-29 |
| 1124261516 | Sarah C. Bryce | Pharmacist | 501 E. Houghton Ave, West Branch, MI 48661 | 2009-04-14 |
| 1528208303 | Richard K Braidwood | Pharmacist | 2206 S. M-76, West Branch, MI 48661 | 2009-03-06 |
| Find all providers in zip 48661 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033732391 | Mclaren Central Michigan | Clinic/Center | 2110 S M 76, West Branch, MI 48661-8737 | 2020-05-21 |
| 1316569205 | Mclaren Central Michigan | Clinic/Center | 117 S Burgess St, West Branch, MI 48661-1403 | 2020-05-13 |
| 1427670579 | Mclaren Central Michigan | Clinic/Center | 611 Court St, West Branch, MI 48661-8820 | 2020-05-12 |
| 1427304922 | Midmichigan Medical Center Gladwin | Clinic/Center | 640 Court Street, West Branch, MI 48661-0001 | 2012-08-02 |
| 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 | ||||
| City | WEST BRANCH |
| Zip Code | 48661 |
Please comment or provide details below to improve the information on MIDMICHIGAN MEDICAL CENTER GLADWIN.
| 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.