MEDICARE: MYMICHIGAN MEDICAL CENTER ALMA

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
1	363AM0700X	Medical Physician Assistant		MI

General Provider Information

NPI Number	:	1467475707
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYMICHIGAN MEDICAL CENTER ALMA

Provider Business Mailing Address
First Line	:	4000 WELLNESS DR
Second Line	:
City	:	MIDLAND
State	:	MI
Zip	:	48670-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	245 E WARWICK DR
Second Line	:
City	:	ALMA
State	:	MI
Zip	:	48801-1026
Country	:	US
Telephone Number	:	989-466-3332
Fax Number	:	989-466-6805

Authorized Official
Title or Position	:	MANAGER PATIENT ACCOUNTS
Name	:	AMANDA M PEIRCE
Credential	:
Telephone Number	:	989-356-7597

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	10/18/2022

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