EATON RAPIDS MEDICAL CENTER (NPI# 1588810709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588810709 |
| Entity Type | Organization |
| Organization Name | EATON RAPIDS MEDICAL CENTER |
| Other Organization Name | SPRINGPORT MEDICAL CLINIC |
| Practice Address |
1500 S Main St Eaton Rapids MI 48827-1952 |
| Mailing Address |
400 E Main St Suite 200 Springport MI 49284-9774 |
| Practice Telephone | 5178574500 |
| Practice Fax Number | 5178574510 |
| Mailing Telephone | 5178574500 |
| Mailing Fax Number | 5178574510 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2016-08-02 |
| Authorized Official Name | TIMOTHY J. JOHNSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5176639474 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | EATON RAPIDS MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
230010 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5170569 | 05 | |
| MI | MEDICARE PTAN | OB37608 | 01 |
| Other Name | Type Code |
|---|---|
| Springport Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437383296 | Eaton Rapids Medical Center | Family Medicine | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2009-05-08 |
| 1922267533 | Eaton Rapids Medical Center | General Acute Care Hospital | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2008-06-09 |
| 1629294046 | Eaton Rapids Medical Center | Medicare Defined Swing Bed Unit | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2007-04-17 |
| 1679623904 | Eaton Rapids Medical Center | Anesthesiology | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2007-01-11 |
| 1730237165 | Eaton Rapids Medical Center | Emergency Medicine | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2007-01-08 |
| 1972651594 | Eaton Rapids Medical Center | Anesthesiology | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2007-01-08 |
| 1417044660 | Eaton Rapids Medical Center | General Acute Care Hospital | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2006-10-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EATON RAPIDS MEDICAL CENTER | 1500 S Main St, Eaton Rapids, MI 48827-1952 |
| Street Address |
1500 S MAIN ST |
| City | EATON RAPIDS |
| State | MI |
| Zip Code | 48827-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803087 | Tess Marie Powell | Nurse Practitioner | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2020-08-27 |
| 1982229837 | Catherine D Asteriou | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2020-06-16 |
| 1306467238 | Mclaren Central Michigan | Clinic/Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2020-05-01 |
| 1295203743 | Cosette Weaver | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2018-11-02 |
| 1730660689 | Laura Squier | Occupational Therapist | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-08-28 |
| 1861986317 | Matthew Weber Austin | Counselor | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-06-19 |
| 1447742465 | Meggen M Baynes | Nurse Practitioner | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-06-05 |
| 1750883625 | Jessica Mae Seguin | Speech-Language Pathologist | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-03-06 |
| 1912409376 | Staci Feldpausch | Physical Therapy Assistant | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-03-01 |
| 1750882312 | Blake Mueller | Physical Therapist | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538399837 | Suzanne T O'rourke | Nurse Practitioner | 101 Spicerville Hwy, Eaton Rapids, MI 48827 | 2009-07-21 |
| 1831300706 | Wilson Homes, Inc. | Custodial Care Facility | 4511 Mills Hwy, Eaton Rapids, MI 48827 | 2007-05-24 |
| 1245370238 | Dianne Lynn Vanaken | Pharmacist | 122-124 S Main, Eaton Rapids, MI 48827 | 2007-02-07 |
| 1669562542 | Diane Jill Shawa | Pharmacy Technician | 1411 S. Main St., Eaton Rapids, MI 48827 | 2006-10-13 |
| 1417913104 | Jonathan Paul Wulff | Family Medicine | 1501 Kyle Street, Eaton Rapids, MI 48827 | 2006-04-22 |
| 1821648056 | Gina Marie Christopherson | Behavioral Analyst | 2549 Jolly Rd, Lansing, MI 48827 | 2019-09-19 |
| 1649750118 | Kahley Emens | Physical Therapist | 1415 S Main St Ste B, Eaton Rapids, MI 48827 | 2018-08-15 |
| 1285824805 | Paul D Hankenson Do PC | General Practice | 1501 Kyle Street, Eaton Rapids, MI 48827 | 2007-07-30 |
| 1487893665 | Teresa Gwen Miller | Physical Therapy Assistant | 118 Lansing St, Eaton Rapids, MI 48827-1024 | 2009-02-12 |
| 1295875284 | Central Pharmacy- Eaton Rapids, LLC | Pharmacy | 122-124 S Main Street, Eaton Rapids, MI 48827-1068 | 2007-02-07 |
| Find all providers in zip 48827 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306467238 | Mclaren Central Michigan | Clinic/Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2020-05-01 |
| 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 | EATON RAPIDS |
| Zip Code | 48827 |
Please comment or provide details below to improve the information on EATON RAPIDS MEDICAL CENTER.
| 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.