Healthcare Provider Details

I. General information

NPI: 1932523412
Provider Name (Legal Business Name): STURGIS HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2014
Last Update Date: 02/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 MYRTLE ST
STURGIS MI
49091-2326
US

IV. Provider business mailing address

916 MYRTLE ST
STURGIS MI
49091-2326
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT LABARGE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 269-651-7824