Healthcare Provider Details
I. General information
NPI: 1346344991
Provider Name (Legal Business Name): SAGINAW COOPERATIVE HOSPITALS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/12/2006
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1015 S WASHINGTON AVE
SAGINAW MI
48601-2556
US
IV. Provider business mailing address
1000 HOUGHTON AVE
SAGINAW MI
48602-5303
US
V. Phone/Fax
- Phone: 989-746-7500
- Fax:
- Phone: 989-746-7500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RG0300X |
| Taxonomy | Geriatric Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207SG0201X |
| Taxonomy | Clinical Genetics (M.D.) Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CYNTHIA
COLLINS
Title or Position: COMPLIANCE OFFICER
Credential:
Phone: 989-558-6425