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General NPI Number Information
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NPI Number | 1326375957
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Entity Type | Organization
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Legal Business Name | STURGIS HOSPITAL INC
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 05/09/2014
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Provider Practice Location Address
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Address Line | 600 S LAKEVIEW AVE SUITE B01
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City | STURGIS
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State | MI
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Zip | 49091-2371
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Country | US
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Telephone | 269-651-2348
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Fax | 269-651-3891
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Provider Business Mailing Address
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Address Line | PO BOX 126
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City | STURGIS
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State | MI
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Zip | 49091-0126
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Country | US
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Telephone | 269-651-2348
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Fax | 269-651-3891
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Authorized Official
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Title or Position | HOSPICE MANAGER
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Name | MS. DEBBIE REEG
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Credential |
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Telephone | 269-651-2348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 104000058
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License Number State | MI
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