HARBOR BEACH COMMUNITY HOSPITAL INC (NPI# 1619059458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619059458 |
| Entity Type | Organization |
| Organization Name | HARBOR BEACH COMMUNITY HOSPITAL INC |
| Practice Address |
210 S 1st St Harbor Beach MI 48441-1236 |
| Practice Telephone | 9894793201 |
| Practice Fax Number | 9894795000 |
| Mailing Telephone | 9894793201 |
| Mailing Fax Number | 9894795000 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | JILL WEHNER (VP/COO) |
| Authorized Official Telephone | 9894793201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 4301067040 | MI | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
4301076866 | MI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 5101013107 | MI | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | 5601004034 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 4301078947 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104700007 | 05 | |
| MI | 114638537 | 05 | |
| MI | 104643573 | 05 | |
| MI | 104684941 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821415811 | Harbor Beach Community Hospital Inc | General Acute Care Hospital | 204 S Huron Ave, Harbor Beach, MI 48441 | 2014-03-27 |
| 1164908703 | Harbor Beach Community Hospital Inc | Nurse Practitioner | 4255 N Lakeshore Rd, Port Hope, MI 48468 | 2018-07-17 |
| 1730146630 | Harbor Beach Community Hospital Inc | Medicare Defined Swing Bed Unit | 210 S 1st St, Harbor Beach, MI 48441-1236 | 2006-04-26 |
| 1124089743 | Harbor Beach Community Hospital Inc | General Acute Care Hospital | 210 S 1st St, Harbor Beach, MI 48441-1236 | 2006-03-31 |
| 1104887579 | Harbor Beach Community Hospital Inc | Skilled Nursing Facility | 210 S 1st St, Harbor Beach, MI 48441-1236 | 2006-03-28 |
| Street Address |
210 S 1ST ST |
| City | HARBOR BEACH |
| State | MI |
| Zip Code | 48441-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801885454 | Jon F Seaver | Physician Assistant | 210 S 1st St, Harbor Beach, MI 48441-1236 | 2005-10-17 |
| 1043700982 | Crystal Marie Caskey | Occupational Therapist | 210 S 1st St, Harbor Beach, MI 48441-1236 | 2018-05-16 |
| 1790274058 | Jean Laurie Kramer | Occupational Therapist | 210 S 1st St, Harbor Beach, MI 48441-1236 | 2018-05-02 |
| 1265732135 | Katherine Antaran Ocomen | Physical Therapist | 210 S 1st St, Harbor Beach, MI 48441-1236 | 2010-10-26 |
| 1396963898 | Serving Through Surgery PC | Surgery | 210 S 1st St, Harbor Beach, MI 48441-1236 | 2007-04-23 |
| 1730146630 | Harbor Beach Community Hospital Inc | Medicare Defined Swing Bed Unit | 210 S 1st St, Harbor Beach, MI 48441-1236 | 2006-04-26 |
| 1124089743 | Harbor Beach Community Hospital Inc | General Acute Care Hospital | 210 S 1st St, Harbor Beach, MI 48441-1236 | 2006-03-31 |
| 1104887579 | Harbor Beach Community Hospital Inc | Skilled Nursing Facility | 210 S 1st St, Harbor Beach, MI 48441-1236 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821415811 | Harbor Beach Community Hospital Inc | General Acute Care Hospital | 204 S Huron Ave, Harbor Beach, MI 48441 | 2014-03-27 |
| 1619316791 | Keri Lynn Pangborn | Dietitian, Registered | 210 S First St, Harbor Beach, MI 48441 | 2013-06-21 |
| 1063690915 | James F Hirn | Dentist | 227 N 4th Street, Harbor Beach, MI 48441 | 2008-02-02 |
| 1215263272 | Myrna Lavasseur | Physical Therapist | 136 N 1st St, Harbor Beach, MI 48441-1101 | 2009-10-27 |
| 1295732956 | Concerned Home Care Inc | Home Health | 136 N First St, Harbor Beach, MI 48441-1101 | 2005-07-07 |
| 1285021253 | Rhonda Lynn Dennis | Social Worker | 136 N 1st St, Harbor Beach, MI 48441-1101 | 2015-04-17 |
| 1114314184 | Elizabeth Ann Howison | Social Worker | 136 N 1st St, Harbor Beach, MI 48441-1101 | 2015-04-17 |
| 1598167983 | Elen Abegail Ragudos | Physical Therapist | 136 N 1st St, Harbor Beach, MI 48441-1101 | 2014-09-17 |
| 1780954438 | Camille Eusebio | Physical Therapist | 136 N 1st St, Harbor Beach, MI 48441-1101 | 2012-01-11 |
| 1376870030 | Candice Pauline Rivera-tenerife | Registered Nurse | 136 N 1st St, Harbor Beach, MI 48441-1101 | 2009-11-17 |
| Find all providers in zip 48441 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346510203 | Robert Willis Oakes | Family Medicine | 831 Resort Rd, Harbor Beach, MI 48441-1370 | 2012-01-10 |
| 1306912696 | Yasmin Sahul | Family Medicine | 8970 Sand Beach Rd, Harbor Beach, MI 48441-9324 | 2006-11-28 |
| 1942640636 | Nicklaus M Bradley | Family Medicine | 8970 Sand Beach Rd, Harbor Beach, MI 48441-9324 | 2013-06-27 |
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|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1710592050 | Chippewa County War Memorial Hospital Inc | Family Medicine | 391 E M 134, Cedarville, MI 49719-9451 | 2020-09-14 |
| 1184238966 | Med Clubs | Family Medicine | 2575 Hummingbird Dr, Holt, MI 48842-9430 | 2020-08-31 |
| 1457961054 | Danna Zevy | Family Medicine | 107 S Washington Ave Apt 401, Saginaw, MI 48607-1258 | 2020-08-07 |
| 1194342808 | Zachary Hillman Do Pllc | Family Medicine | 1794 N Lapeer Rd Ste A, Lapeer, MI 48446-7664 | 2020-06-29 |
| 1336765445 | Spectrum Health United | Family Medicine | 7188 Avenue B, Vestaburg, MI 48891-9502 | 2020-06-24 |
| 1477179711 | Spectrum Health United | Family Medicine | 1324 N County Line Rd, Blanchard, MI 49310-9303 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | HARBOR BEACH |
| Zip Code | 48441 |
Please comment or provide details below to improve the information on HARBOR BEACH COMMUNITY HOSPITAL INC.
| 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.