NPI Code Details Logo

NPI 1801982814

NPI 1801982814 : MYMICHIGAN MEDICAL CENTER ALPENA : ALPENA, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1801982814
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MYMICHIGAN MEDICAL CENTER ALPENA 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/05/2006
-----------------------------------------------------
    Last Update Date     |    01/14/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    401 LONG RAPIDS PLZ 
-----------------------------------------------------
    City                 |    ALPENA
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    49707
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    989-356-7390
-----------------------------------------------------
    Fax                  |    989-356-8013
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4000 WELLNESS DR 
-----------------------------------------------------
    City                 |    MIDLAND
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48670-0001
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    844-832-1956
-----------------------------------------------------
    Fax                  |    989-633-5241
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MANAGER, PROVIDER ENROLLMENT
-----------------------------------------------------
    Name                 |     SARAH  JAMES 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    989-701-4734
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332B00000X
-----------------------------------------------------
    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
    License Number       |    040010
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.