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NPI Code Detail

MEDICARE: OCEANA COUNTY MEDICAL CARE FACILITY

MEDICARE: OCEANA COUNTY MEDICAL CARE FACILITY
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
1261QR0400XRehabilitation Clinic/Center648510MI
2314000000XSkilled Nursing Facility648510MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
230910OTHERMIBCBSM

General Provider Information

NPI Number : 1417955477
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCEANA COUNTY MEDICAL CARE FACILITY
Provider Business Mailing Address
First Line : 701 E MAIN ST
Second Line :
City : HART
State : MI
Zip : 49420-1168
Country : US
Telephone Number : 231-873-6600
Fax Number : 231-873-6030
Provider Business Practice Location Address
First Line : 701 E MAIN ST
Second Line :
City : HART
State : MI
Zip : 49420-1168
Country : US
Telephone Number : 231-873-6600
Fax Number : 231-873-6030
Authorized Official
Title or Position : CHAIRMAN OF BOARD
Name : MR. LARRY K VANSICKLE
Credential :
Telephone Number : 231-873-4052
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/26/2024

Similar Medicare Providers

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Practice Location Address:
701 E MAIN ST
HART, MI
49420-1168
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1467940908 — JESSICA MARIE TARISKE OTRL
Practice Location Address:
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HART, MI
49420-1168
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Practice Fax:
1265066765 — KAITLYN FELT OTR/L
Practice Location Address:
701 E MAIN ST
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49420-1168
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Practice Fax:
1003489766 — MARISSA ROYCE CCC-SLP
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Directions to “OCEANA COUNTY MEDICAL CARE FACILITY ” Practice Location

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