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NPI Code Detail

MEDICARE: EMMET COUNTY MEDICAL CARE FACILITY

MEDICARE: EMMET COUNTY MEDICAL CARE FACILITY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility248510MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
209615OTHERMIMEDICARE ADVANTAGE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
109615OTHERMIBCBSM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124025440
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMMET COUNTY MEDICAL CARE FACILITY
Provider Business Mailing Address
First Line : 750 E MAIN ST
Second Line :
City : HARBOR SPRINGS
State : MI
Zip : 49740-1548
Country : US
Telephone Number : 231-526-4403
Fax Number : 231-526-5252
Provider Business Practice Location Address
First Line : 750 E MAIN ST
Second Line :
City : HARBOR SPRINGS
State : MI
Zip : 49740-1548
Country : US
Telephone Number : 231-526-4403
Fax Number : 231-526-5252
Authorized Official
Title or Position : ADMINSITRATOR
Name : MRS. DIANA BAILEY
Credential :
Telephone Number : 231-526-4400
Provider Enumeration Date : 07/01/2005
Last Update Date : 08/06/2008

Similar Medicare Providers

1902080963 — EMMET COUNTY MEDICAL CARE FACILITY
Practice Location Address:
750 E MAIN ST
HARBOR SPRINGS, MI
49740-1548
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1952546442 — MS. SARAH THOMAS SCHOLTZ OTR
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Practice Fax:
1093038754 — EMMET COUNTY MEDICAL CARE FACILITY
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HARBOR SPRINGS, MI
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1629792544 — ANDREA LYNN KRAUSE COTA/L, A.D
Practice Location Address:
750 E MAIN ST
HARBOR SPRINGS, MI
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1982574588 — SARA A WILSON
Practice Location Address:
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Practice Fax:
1316065485 — DR. RICHARD E KRAUS, O.D., INC
Practice Location Address:
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Directions to “EMMET COUNTY MEDICAL CARE FACILITY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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