MEDICARE: MYMICHIGAN MEDICAL CENTER ALPENA

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	282N00000X	General Acute Care Hospital	L905569	MI

General Provider Information

NPI Number	:	1801934930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYMICHIGAN MEDICAL CENTER ALPENA

Provider Business Mailing Address
First Line	:	4000 WELLNESS DR
Second Line	:
City	:	MIDLAND
State	:	MI
Zip	:	48670-0001
Country	:	US
Telephone Number	:	844-832-1956
Fax Number	:	989-633-5241

Provider Business Practice Location Address
First Line	:	201 S BRADLEY HWY
Second Line	:	SUITE 6
City	:	ROGERS CITY
State	:	MI
Zip	:	49779-2139
Country	:	US
Telephone Number	:	989-734-4254
Fax Number	:	989-734-8914

Authorized Official
Title or Position	:	MANAGER, PROVIDER ENROLLMENT
Name	:	SARAH JAMES
Credential	:
Telephone Number	:	989-701-4734

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	01/14/2026

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