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General NPI Number Information
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NPI Number | 1366775686
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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 | 09/18/2009
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 916 MYRTLE ST
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City | STURGIS
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State | MI
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Zip | 49091-2326
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Country | US
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Telephone | 269-659-6747
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Fax |
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Provider Business Mailing Address
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Address Line | 916 MYRTLE ST
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City | STURGIS
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State | MI
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Zip | 49091-2326
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Country | US
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Telephone | 269-659-6747
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | JO HAGOOD
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Credential |
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Telephone | 269-659-6747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 1366775686
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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