Healthcare Provider Details

I. General information

NPI: 1356460513
Provider Name (Legal Business Name): CARSON CITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 E ELM ST
CARSON CITY MI
48811-9693
US

IV. Provider business mailing address

406 E ELM ST PO BOX 730
CARSON CITY MI
48811-9693
US

V. Phone/Fax

Practice location:
  • Phone: 989-584-3971
  • Fax: 989-584-6734
Mailing address:
  • Phone: 989-584-3971
  • Fax: 989-584-6734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MS. NATALIE BUSLEPP
Title or Position: MSG DIRECTOR
Credential:
Phone: 989-584-3971