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NPI 1700774635

NPI 1700774635 : MYMICHIGAN MEDICAL CENTER SAULT : SAULT SAINTE MARIE, MI

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General NPI Number Information
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    NPI Number           |    1700774635
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    Entity Type          |    Organization 
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    Legal Business Name  |    MYMICHIGAN MEDICAL CENTER SAULT 
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Dates
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    Enumeration Date     |    06/27/2025
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    Last Update Date     |    01/14/2026
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Provider Practice Location Address
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    Address Line         |    500 OSBORN BLVD 
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    City                 |    SAULT SAINTE MARIE
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    State                |    MI
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    Zip                  |    49783-1822
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    Country              |    US
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    Telephone            |    906-253-2685
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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                  |    48670-2000
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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    |    MANAGER, 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        |    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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