PRO-HEALTH MEDICAL MIDLAND INC (NPI# 1558840587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558840587 |
| Entity Type | Organization |
| Organization Name | PRO-HEALTH MEDICAL MIDLAND INC |
| Practice Address |
111 E Wackerly St Ste D Midland MI 48642-7043 |
| Practice Telephone | 8102400023 |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-10 |
| Authorized Official Name | TIMOTHY KEELER (PA) |
| Authorized Official Telephone | 8102400023 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
111 E WACKERLY ST STE D |
| City | MIDLAND |
| State | MI |
| Zip Code | 48642-7043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740841451 | Pro-health Medical Fp-midland | Clinic/Center | 111 E Wackerly St Ste D, Midland, MI 48642-7043 | 2019-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488378 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
| 1033762166 | Landon Reed | Occupational Therapist | 5600 Waldo Ave, Midland, MI 48642 | 2019-07-17 |
| 1609436062 | Rostam Adult and Pediatric Medicine Midland Pllc | Family Medicine | 801 Joe Mann Blvd, Suite H, Midland, MI 48642 | 2019-06-18 |
| 1194295758 | Shirley Curtiss | Behavior Technician | 3301 Ridgecrest Drive, Midland, MI 48642 | 2018-11-27 |
| 1396264768 | Emily Lipa | Behavior Technician | 3301 Ridgecrest Dr., Midland, MI 48642 | 2017-09-16 |
| 1366982381 | Alison Bressette | Behavior Technician | 337 Lemke St, Midland, MI 48642 | 2017-02-24 |
| 1376926162 | Aba Connections of Central Michigan, LLC | Behavioral Analyst | 3301 Ridecrest Dr, Midland, MI 48642 | 2015-06-30 |
| 1952724130 | Rachelle Mott | Registered Nurse | 218 Fast Ice Dr., Midland, MI 48642 | 2014-01-24 |
| 1407123482 | Community Mental Health for Central Michigan | Community/Behavioral Health | 218 Fast Ice Drive, Midland, MI 48642 | 2011-11-19 |
| 1225283534 | Audio-aid Rx | Hearing Aid Equipment | 6855 N. Eastman Ave., Midland, MI 48642 | 2008-12-01 |
| Find all providers in zip 48642 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588043707 | Wes Tex Urgent Care Pllc | Clinic/Center | 210 W Longview Ave Ste A, Midland, TX 79701-1932 | 2015-05-20 |
| 1245661537 | Northwood University Health Center | Clinic/Center | 4000 Whiting Dr., Midland, MI 48640-2398 | 2013-12-11 |
| 1154763977 | Haedong Medical Group Pllc | Clinic/Center | 2304 W Michigan Ave, Midland, TX 79701-5830 | 2013-07-22 |
| 1053645838 | Marta Willoughby Md Pa | Clinic/Center | 3423 Caldera, Midland, TX 79707 | 2009-09-25 |
| 1538195722 | Euclid Medical Group PC | Clinic/Center | 4615 Eastman Ave, Midland, MI 48640-2610 | 2006-06-23 |
| 1275027476 | New Hope Urgent Care Pllc | Clinic/Center | 728 W Wackerly St, Ste 101, Midland, MI 48643 | 2018-06-20 |
| 1912421645 | Wes Tex Urgent Care, Pllc | Clinic/Center | 3401 Greenbriar Ste 200, Midland, TX 79707-4653 | 2017-08-03 |
| 1316325954 | Midmichigan Medical Center Midland | Clinic/Center | 3009 N Saginaw Rd, Midland, MI 48640-4555 | 2015-05-15 |
| 1831510890 | Midmichigan Physicians Group | Clinic/Center | 3009 N Saginaw Rd, Midland, MI 48640-4555 | 2013-12-18 |
| 1568721421 | Hope Urgent Care Midland Pllc | Clinic/Center | 222 N Saginaw Rd, Midland, MI 48640-3330 | 2012-05-14 |
| Find all providers in MIDLAND | ||||
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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.