DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MIDMICHIGAN HEALTH SERVICES

MEDICARE: MIDMICHIGAN HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1114278140
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDMICHIGAN HEALTH SERVICES
Provider Business Mailing Address
First Line : 9249 W LAKE CITY RD
Second Line :
City : HOUGHTON LAKE
State : MI
Zip : 48629-9602
Country : US
Telephone Number : 989-422-5122
Fax Number : 989-422-4378
Provider Business Practice Location Address
First Line : 439 S ROSS ST
Second Line :
City : BEAVERTON
State : MI
Zip : 48612-9101
Country : US
Telephone Number : 989-246-3500
Fax Number : 989-246-3519
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JAMES P RASCHKE
Credential : MBA
Telephone Number : 989-422-5122
Provider Enumeration Date : 10/01/2012
Last Update Date : 05/20/2014

Similar Medicare Providers

1366484271 — DANNY D GREIG II M.D.
Practice Location Address:
439 S ROSS ST
BEAVERTON, MI
48612-9101
Practice Phone: 989-246-3500
Practice Fax: 989-246-3519
1801970850 — MS. ROSEMARY MCCALLUM-HERBERT LMSW, CAAC
Practice Location Address:
439 S ROSS ST
BEAVERTON, MI
48612-9101
Practice Phone: 989-246-3500
Practice Fax:
1356400923 — STEVEN WOODWARD PICARD MD
Practice Location Address:
439 S ROSS ST
BEAVERTON, MI
48612-9101
Practice Phone: 989-246-3500
Practice Fax: 989-246-3519
1346552718 — VINOSHA BALAKRISHNAN M.D
Practice Location Address:
439 S ROSS ST
BEAVERTON, MI
48612-9101
Practice Phone: 989-246-3500
Practice Fax: 989-246-3519
1407169832 — ANN MARIE ROEHRS FNP
Practice Location Address:
439 S ROSS ST , MIDMICHIGAN MEDICAL OFFICES-BEAVERTON
BEAVERTON, MI
48612-9101
Practice Phone: 989-246-3500
Practice Fax: 989-246-3519
1306186812 — AMANDA LYNN CISSE MSW
Practice Location Address:
439 S ROSS ST
BEAVERTON, MI
48612-9101
Practice Phone: 989-422-5122
Practice Fax:

Directions to “MIDMICHIGAN HEALTH SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.