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NPI Code Detail

MEDICARE: MYMICHIGAN MEDICAL CENTER TAWAS

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
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1669460408
Entity Type Code : Organization
Provider Name (Legal Business Name) : MYMICHIGAN MEDICAL CENTER TAWAS
Provider Business Mailing Address
First Line : PO BOX 779
Second Line :
City : TAWAS CITY
State : MI
Zip : 48764-0779
Country : US
Telephone Number : 989-739-1441
Fax Number : 989-739-6093
Provider Business Practice Location Address
First Line : 5939 N HURON RD
Second Line :
City : OSCODA
State : MI
Zip : 48750-9710
Country : US
Telephone Number : 989-739-6081
Fax Number : 989-739-6093
Authorized Official
Title or Position : MANAGER PATIENT ACCOUNTING
Name : AMANDA PEIRCE
Credential :
Telephone Number : 989-356-7597
Provider Enumeration Date : 10/06/2005
Last Update Date : 09/02/2025

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Directions to “MYMICHIGAN MEDICAL CENTER TAWAS ” Practice Location

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