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NPI Code Detail

MEDICARE: MYMICHIGAN MEDICAL CENTER TAWAS

MEDICARE: MYMICHIGAN MEDICAL CENTER TAWAS
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
1282N00000XGeneral Acute Care Hospital350010MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100209OTHERMIBCBS

General Provider Information

NPI Number : 1194713461
Entity Type Code : Organization
Provider Name (Legal Business Name) : MYMICHIGAN MEDICAL CENTER TAWAS
Provider Business Mailing Address
First Line : 4000 WELLNESS DR
Second Line :
City : MIDLAND
State : MI
Zip : 48670-2000
Country : US
Telephone Number : 844-832-1956
Fax Number : 989-633-5241
Provider Business Practice Location Address
First Line : 200 HEMLOCK ST
Second Line :
City : TAWAS CITY
State : MI
Zip : 48763-9237
Country : US
Telephone Number : 989-362-3411
Fax Number : 989-362-4683
Authorized Official
Title or Position : MANAGER PATIENT ACCOUNTING
Name : SARAH JAMES
Credential :
Telephone Number : 989-701-4734
Provider Enumeration Date : 10/11/2005
Last Update Date : 01/14/2026

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Directions to “MYMICHIGAN MEDICAL CENTER TAWAS ” Practice Location

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