Healthcare Provider Details
I. General information
NPI: 1982709119
Provider Name (Legal Business Name): MIDMICHIGAN HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2600 MCCANDLESS DR
MIDLAND MI
48640-6103
US
IV. Provider business mailing address
3007 N SAGINAW RD
MIDLAND MI
48640-4555
US
V. Phone/Fax
- Phone: 989-837-9091
- Fax: 989-837-9092
- Phone: 989-633-1400
- Fax: 989-633-1464
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
PAMELA
A
MELCHI
Title or Position: PATIENT ACCOUNTING MANAGER
Credential:
Phone: 989-633-1400