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NPI 1376226159

NPI 1376226159 : STURGIS HOSPITAL, INC. : STURGIS, MI

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General NPI Number Information
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    NPI Number           |    1376226159
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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     |    08/09/2023
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    Last Update Date     |    08/16/2023
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Provider Practice Location Address
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    Address Line         |    600 S LAKEVIEW AVE STE 105 
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    City                 |    STURGIS
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    State                |    MI
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    Zip                  |    49091-2373
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    Country              |    US
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    Telephone            |    269-659-4382
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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            |    269-651-7824
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    Fax                  |    269-659-4490
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Authorized Official
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    Title or Position    |    BILLER
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    Name                 |     MICHELLE  YESH 
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    Credential           |    
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    Telephone            |    269-651-7824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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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        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    
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    License Number State |    
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