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NPI Code Detail

MEDICARE: COUNTY OF CASS

MEDICARE: COUNTY OF CASS
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 Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
109538OTHERMIBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629064332
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF CASS
Provider Business Mailing Address
First Line : 23770 HOSPITAL ST
Second Line :
City : CASSOPOLIS
State : MI
Zip : 49031-9644
Country : US
Telephone Number : 269-445-3801
Fax Number :
Provider Business Practice Location Address
First Line : 23770 HOSPITAL ST
Second Line :
City : CASSOPOLIS
State : MI
Zip : 49031-9644
Country : US
Telephone Number : 269-445-3801
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. MERRI TERBORGH
Credential :
Telephone Number : 269-445-3801
Provider Enumeration Date : 09/27/2005
Last Update Date : 12/11/2008

Similar Medicare Providers

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Practice Location Address:
23770 HOSPITAL ST
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49031-9644
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1538627674 — DANIELLE ILEANA CARLSON PTA
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1932766110 — JODI LEE COLE
Practice Location Address:
23770 HOSPITAL ST
CASSOPOLIS, MI
49031-9644
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1043878556 — SHELBY EBERSTEIN
Practice Location Address:
23770 HOSPITAL ST
CASSOPOLIS, MI
49031-9644
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Practice Fax:
1073150645 — MARCIA K. PEDZINSKI
Practice Location Address:
23770 HOSPITAL ST
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49031-9644
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Directions to “COUNTY OF CASS ” Practice Location

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