Healthcare Provider Details

I. General information

NPI: 1376226159
Provider Name (Legal Business Name): STURGIS HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2023
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S LAKEVIEW AVE STE 105
STURGIS MI
49091-2373
US

IV. Provider business mailing address

916 MYRTLE ST
STURGIS MI
49091-2326
US

V. Phone/Fax

Practice location:
  • Phone: 269-659-4382
  • Fax:
Mailing address:
  • Phone: 269-651-7824
  • Fax: 269-659-4490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE YESH
Title or Position: BILLER
Credential:
Phone: 269-651-7824