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General NPI Number Information
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NPI Number | 1144115288
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Entity Type | Organization
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Legal Business Name | MYMICHIGAN MEDICAL CENTER TAWAS
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 200 HEMLOCK RD
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City | TAWAS CITY
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State | MI
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Zip | 48763-2000
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Country | US
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Telephone | 989-362-3411
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 WELLNESS DR
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City | MIDLAND
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State | MI
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Zip | 48670-1000
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Country | US
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Telephone | 844-832-1956
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Fax | 989-633-5241
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Authorized Official
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Title or Position | MANGER PROVIDER ENROLLMENT
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Name | SARAH JAMES
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Credential |
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Telephone | 989-701-4734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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