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NPI Code Detail

MEDICARE: MYMICHIGAN MEDICAL CENTER GLADWIN

MEDICARE: MYMICHIGAN MEDICAL CENTER GLADWIN
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
1282NC0060XCritical Access Hospital260011MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
300128OTHERMIBCBSM

General Provider Information

NPI Number : 1235248071
Entity Type Code : Organization
Provider Name (Legal Business Name) : MYMICHIGAN MEDICAL CENTER GLADWIN
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 : 515 QUARTER ST
Second Line :
City : GLADWIN
State : MI
Zip : 48624-1959
Country : US
Telephone Number : 989-426-9286
Fax Number :
Authorized Official
Title or Position : MANAGER, PROVIDER ENROLLMENT
Name : SARAH JAMES
Credential :
Telephone Number : 989-701-4734
Provider Enumeration Date : 08/29/2006
Last Update Date : 01/15/2026

Similar Medicare Providers

1821042094 — LUIS A TRUJILLO MD
Practice Location Address:
515 QUARTER ST
GLADWIN, MI
48624-1959
Practice Phone: 989-426-9286
Practice Fax:
1699703637 — DR. JOEL D HUMPHREY M.D.
Practice Location Address:
515 QUARTER ST
GLADWIN, MI
48624-1959
Practice Phone: 989-426-9286
Practice Fax:
1750437083 — JEFFREY R MCREYNOLDS CNMT
Practice Location Address:
515 QUARTER ST
GLADWIN, MI
48624-1959
Practice Phone: 989-246-9611
Practice Fax:
1508993361 — MYMICHIGAN MEDICAL CENTER GLADWIN
Practice Location Address:
515 QUARTER STREET
GLADWIN, MI
48624-1959
Practice Phone: 989-426-9286
Practice Fax: 989-839-1304
1881869774 — MYMICHIGAN MEDICAL CENTER GLADWIN
Practice Location Address:
515 QUARTER ST
GLADWIN, MI
48624-1959
Practice Phone: 989-426-9286
Practice Fax:
1265609705 — MYMICHIGAN MEDICAL CENTER GLADWIN
Practice Location Address:
515 QUARTER ST
GLADWIN, MI
48624-1959
Practice Phone: 989-426-9286
Practice Fax:

Directions to “MYMICHIGAN MEDICAL CENTER GLADWIN ” Practice Location

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