MIDMICHIGAN HEALTH SERVICES (NPI# 1982094876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982094876 |
Entity Type | Organization |
Organization Name | MIDMICHIGAN HEALTH SERVICES |
Other Organization Name | MIDMICHIGAN MEDICAL OFFICES-COMMUNITY MENTAL HEALTH FOR CENTRAL MICH |
Practice Address |
218 Fast Ice Dr Midland MI 48642-6167 |
Mailing Address |
9249 W Lake City Rd Houghton Lake MI 48629-9602 |
Practice Telephone | 9892463500 |
Practice Fax Number | 9892463519 |
Mailing Telephone | 9894225122 |
Mailing Fax Number | 9894224378 |
Enumeration Date | 2015-01-29 |
Last Update Date | 2015-01-29 |
Authorized Official Name | JAMES P RASCHKE (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9894225122 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
MIDMICHIGAN MEDICAL OFFICES-COMMUNITY MENTAL HEALTH FOR CENTRAL MICH | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326205907 | Midmichigan Health Services | Clinic/Center | 299 E Sunset Dr, Roscommon, MI 48653-9393 | 2008-05-21 |
1316104995 | Midmichigan Health Services | Clinic/Center | 4433 W Houghton Lake Dr, Houghton Lake, MI 48629-9786 | 2008-05-21 |
1033768700 | Midmichigan Health Services | Clinic/Center | 112 S 4th St, Ste Medical, Roscommon, MI 48653-8904 | 2019-09-05 |
1053791368 | Midmichigan Health Services | Pharmacy | 9249 W Lake City Rd, Houghton Lake, MI 48629-9602 | 2015-06-02 |
1114278140 | Midmichigan Health Services | Clinic/Center | 439 S Ross St, Beaverton, MI 48612-9101 | 2012-10-01 |
1841457314 | Midmichigan Health Services | Clinic/Center | 135 Lake St, Roscommon, MI 48653-7658 | 2008-05-21 |
1912998287 | Midmichigan Health Services | Clinic/Center | 9249 W Lake City Rd, Houghton Lake, MI 48629-9602 | 2005-11-04 |
Street Address |
218 FAST ICE DR |
City | MIDLAND |
State | MI |
Zip Code | 48642-6167 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063501351 | Nicole Lynn Minnis | Psychologist | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2006-10-12 |
1013560820 | Jessica Lynn Klatt | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2019-07-20 |
1639661630 | Ariel Dawn Tausk | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2018-06-05 |
1295226769 | Rashell Byrski | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2018-05-21 |
1548761745 | Jenae Eva Finney | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2018-02-22 |
1578070124 | Jessica Sansoucie | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2018-01-04 |
1528583432 | Trisha Powell | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2017-08-11 |
1972028934 | Pamela Lane Graber | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2017-08-10 |
1821528845 | Melissa Ann Gilbert | Peer Specialist | 218 Fast Ice Dr, Midland, MI 48642 | 2017-06-13 |
1801324330 | Rachel Lightfoot | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2017-05-29 |
Find all providers in the same location |
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 | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235225087 | Midland Community Healthcare Services | Clinic/Center | 801 E Florida Ave, Midland, TX 79701-8212 | 2006-10-05 |
1013016906 | Midland Community Healthcare Services | Clinic/Center | 400 Rosalind Redfern Grover Pkwy, 3rd Floor, Midland, TX 79701-5846 | 2006-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427658244 | Hackley Community Care Center Inc | Clinic/Center | 3113 Pontaluna Rd Ste A, Fruitport, MI 49415-9600 | 2020-10-30 |
1760080972 | Hackley Community Care Center Inc | Clinic/Center | 1420 Madison St Ste A, Muskegon, MI 49442-5251 | 2020-10-12 |
1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
1326654666 | Family Medical Center of Michigan,inc | Clinic/Center | 550 E Main St Ste 1001, Hudson, MI 49247-9535 | 2020-09-22 |
1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
1700400389 | Northwest Michigan Health Services, Inc. | Clinic/Center | 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 | 2020-05-30 |
1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
1053948265 | Upper Great Lakes Family Health Center | Clinic/Center | 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 | 2020-03-26 |
1568096923 | Grace Health, Inc. | Clinic/Center | 825 Capital Ave Ne, Battle Creek, MI 49017-5605 | 2020-02-25 |
Find all providers with the same taxonomy |
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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.