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NPI Code Detail

MEDICARE: ISABELLA COUNTY MEDICAL CARE

MEDICARE: ISABELLA COUNTY MEDICAL CARE
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
1314000000XSkilled Nursing Facility378510MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
209634OTHERMIBLUE CROSS OF MICHIGAN

General Provider Information

NPI Number : 1508868662
Entity Type Code : Organization
Provider Name (Legal Business Name) : ISABELLA COUNTY MEDICAL CARE
Provider Business Mailing Address
First Line : 1222 NORTH DR
Second Line :
City : MT PLEASANT
State : MI
Zip : 48858-3200
Country : US
Telephone Number : 989-772-2957
Fax Number : 989-772-3669
Provider Business Practice Location Address
First Line : 1222 NORTH DR
Second Line :
City : MT PLEASANT
State : MI
Zip : 48858-3200
Country : US
Telephone Number : 989-772-2957
Fax Number : 989-772-3669
Authorized Official
Title or Position : ADMINISTRATOR
Name : NETANIS BAUMANN
Credential :
Telephone Number : 989-772-2957
Provider Enumeration Date : 06/02/2005
Last Update Date : 01/16/2015

Similar Medicare Providers

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Practice Location Address:
1222 NORTH DR
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48858-3200
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1588975528 — MRS. JENNIFER LYNN LINDOW PTA,PM
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1467766683 — GENESIS
Practice Location Address:
1222 NORTH DR
MT PLEASANT, MI
48858-3200
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Practice Fax:
1841629458 — MAUREEN KARBOWSKI
Practice Location Address:
1222 NORTH DR
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48858-3200
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Practice Fax:
1669899126 — HEATHER SHACKELFORD
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48858-3200
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Directions to “ISABELLA COUNTY MEDICAL CARE ” Practice Location

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