Healthcare Provider Details

I. General information

NPI: 1861409963
Provider Name (Legal Business Name): REED CITY HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 11/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8795 PINE RIDGE DR STE B
CADILLAC MI
49601-9777
US

IV. Provider business mailing address

PO BOX 75
REED CITY MI
49677-0075
US

V. Phone/Fax

Practice location:
  • Phone: 231-779-8100
  • Fax: 231-779-8199
Mailing address:
  • Phone: 231-832-3271
  • Fax: 231-832-1319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberLS051682
License Number StateMI

VIII. Authorized Official

Name: MR. KAUFMAN THOMAS
Title or Position: PRESIDENT
Credential:
Phone: 231-832-7176