Healthcare Provider Details

I. General information

NPI: 1902266356
Provider Name (Legal Business Name): CENTRAL MICHIGAN CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2016
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 E BROADWAY ST
MOUNT PLEASANT MI
48858-2933
US

IV. Provider business mailing address

798 S WHITEVILLE RD
MT PLEASANT MI
48858-8776
US

V. Phone/Fax

Practice location:
  • Phone: 989-854-8334
  • Fax:
Mailing address:
  • Phone: 989-854-8334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MR. TIMOTHY HUTCHINS
Title or Position: PRESIDENT
Credential:
Phone: 989-854-8334