MIDMICHIGAN MEDICAL CENTER GLADWIN (NPI# 1619311891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619311891 |
| Entity Type | Organization |
| Organization Name | MIDMICHIGAN MEDICAL CENTER GLADWIN |
| Other Organization Name | GLADWIN URGENT CARE |
| Practice Address |
609 Quarter St Gladwin MI 48624-1941 |
| Practice Telephone | 9892469430 |
| Practice Fax Number | 9892469435 |
| Mailing Telephone | 9892469430 |
| Mailing Fax Number | 9892469435 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2015-07-16 |
| Authorized Official Name | RAYMOND STOVER (PRESIDENT) |
| Authorized Official Telephone | 9892466201 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDMICHIGAN MEDICAL CENTER GLADWIN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gladwin Urgent Care | 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 |
| 1558790162 | Midmichigan Medical Center Gladwin | Clinic/Center | 640 Court St, West Branch, MI 48661-9390 | 2013-11-04 |
| 1205277910 | Midmichigan Medical Center Gladwin | Clinic/Center | 515 Quarter St, Gladwin, MI 48624-1959 | 2013-07-10 |
| 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 |
609 QUARTER ST |
| City | GLADWIN |
| State | MI |
| Zip Code | 48624-1941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841215423 | Evangeline A Ancheta | Family Medicine | 609 Quarter St, Gladwin, MI 48624-1941 | 2006-07-13 |
| 1346848140 | Chelsea Hutchinson | Physical Therapist | 609 Quarter St, Gladwin, MI 48624-1941 | 2020-10-14 |
| 1306330519 | Beau Richard Bailer | Physical Therapist | 609 Quarter St, Gladwin, MI 48624-1941 | 2018-06-20 |
| 1750879839 | Julie L Schultz | Occupational Therapist | 609 Quarter St, Gladwin, MI 48624-1941 | 2018-04-25 |
| 1386068872 | Sara Sisco | Nurse Practitioner | 609 Quarter St, Gladwin, MI 48624-1941 | 2014-02-05 |
| 1538599733 | Eric Kreckman | Physician Assistant | 609 Quarter St, Gladwin, MI 48624-1941 | 2013-11-25 |
| 1093044067 | Midmichigan Medical Center Gladwin | Clinic/Center | 609 Quarter St, Gladwin, MI 48624-1941 | 2009-12-21 |
| 1972731370 | Renee Christine Fuller | Family Medicine | 609 Quarter St, Gladwin, MI 48624-1941 | 2009-06-24 |
| 1598954836 | Midmichigan Cardiology, PC | Specialist | 609 Quarter St, Gladwin, MI 48624-1941 | 2007-10-23 |
| 1124177977 | Jeffrey Carl Stone | Podiatrist | 609 Quarter St, Gladwin, MI 48624-1941 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558889162 | Jacob Cameron Shell | Specialist/Technologist | 4403 Betty Lee Blvd, Gladwin, MI 48624 | 2017-09-03 |
| 1750704268 | Monica Maebel Weaver | Licensed Practical Nurse | 1426 North St. Street, Affordable Nursing Inc, Gladwin, MI 48624 | 2014-02-04 |
| 1417397407 | Richard Allen White | Registered Nurse | 655 East Cedar Avenue, Gladwin, MI 48624 | 2013-07-05 |
| 1023453040 | Amy Rebecca Brockschmidt | Counselor | Ten16 Recovery Network, 1302 Chatterton St. 2, Gladwin, MI 48624 | 2013-05-03 |
| 1447558341 | Erika Dianis | Psychologist | 655 E. Cedar Ave., Gladwin, MI 48624 | 2011-03-02 |
| 1457519456 | Bont & Medical Products Inc | Durable Medical Equipment & Medical Supplies | 895 N M18 Suite 2, Gladwin, MI 48624 | 2008-05-27 |
| 1346424454 | Regional Dialysis Services Inc | Clinic/Center | 673 Quarter Street, Gladwin, MI 48624 | 2007-12-26 |
| 1548476070 | Sambamurti . Srinivasan | Family Medicine | 602 Riverview Ct, Gladwin, MI 48624 | 2007-05-14 |
| 1295957850 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 1234 W Cedar Ave, Gladwin, MI 48624 | 2007-05-03 |
| 1710063755 | Janet Flynn | Registered Nurse | 1207 N Spring St, Gladwin, MI 48624 | 2006-10-31 |
| Find all providers in zip 48624 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881869774 | Midmichigan Medical Center Gladwin | Clinic/Center | 515 Quarter St, Gladwin, MI 48624-1959 | 2008-04-23 |
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|---|---|---|---|---|
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| 1538704218 | West Park Medical Clinic PC | Clinic/Center | 16238 W Warren Ave, Detroit, MI 48228-3701 | 2019-11-17 |
| 1225679822 | The Urgent Care PC | Clinic/Center | 170 W Genesee St Ste B, Frankenmuth, MI 48734-1305 | 2019-10-04 |
| 1508417197 | Vps of Mi Pllc | Clinic/Center | 25880 Outer Dr Ste 1, Lincoln Park, MI 48146-1553 | 2019-09-25 |
| 1356804710 | Southshore Urgent Care Pllc. | Clinic/Center | 20789 Gibraltar Rd, Brownstown Twp, MI 48183-5087 | 2019-04-11 |
| 1871054650 | Warren Urgent Care Walk-in Clinic LLC | Clinic/Center | 30736 Hoover Rd, Warren, MI 48093-2555 | 2019-03-26 |
| 1821553587 | Medpointe Urgent Care Walk In Clinic PC | Clinic/Center | 31290 Groesbeck Hwy, Fraser, MI 48026-2517 | 2019-02-07 |
| 1174088066 | Kb Care, Pllc | Clinic/Center | 4563 Washtenaw Ave Ste B, Ann Arbor, MI 48108-1011 | 2019-02-05 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
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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.