MEDICARE: MYMICHIGAN MEDICAL CENTER TAWAS

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	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1477716165
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYMICHIGAN MEDICAL CENTER TAWAS

Provider Business Mailing Address
First Line	:	4000 WELLNESS DR
Second Line	:
City	:	MIDLAND
State	:	MI
Zip	:	48670-2000
Country	:	US
Telephone Number	:	888-832-1956
Fax Number	:	989-633-5241

Provider Business Practice Location Address
First Line	:	110 BEECH ST STE A
Second Line	:
City	:	TAWAS CITY
State	:	MI
Zip	:	48763-8314
Country	:	US
Telephone Number	:	989-984-3770
Fax Number	:	989-984-0038

Authorized Official
Title or Position	:	MANAGER PATIENT ACCOUNTING
Name	:	SARAH JAMES
Credential	:
Telephone Number	:	989-701-4734

Provider Enumeration Date	:	07/03/2008
Last Update Date	:	01/14/2026

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