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: SHERIDAN COMMUNITY HOSPITAL

MEDICARE: SHERIDAN COMMUNITY HOSPITAL
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
11041C0700XClinical Social Worker
2101YM0800XMental Health Counselor
3208D00000XGeneral Practice Physician
4207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1700E96007OTHERMIBCBSM GROUP
217827OTHERMIPRIORITY HEALTH

General Provider Information

NPI Number : 1528090594
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHERIDAN COMMUNITY HOSPITAL
Provider Business Mailing Address
First Line : 301 N MAIN ST
Second Line : PO BOX 279
City : SHERIDAN
State : MI
Zip : 48884-0279
Country : US
Telephone Number : 989-291-3261
Fax Number : 989-291-3062
Provider Business Practice Location Address
First Line : 301 N MAIN ST
Second Line :
City : SHERIDAN
State : MI
Zip : 48884-0279
Country : US
Telephone Number : 989-291-3261
Fax Number : 989-291-3062
Authorized Official
Title or Position : CEO
Name : LJILJANA PETRICEVIC
Credential :
Telephone Number : 989-291-6222
Provider Enumeration Date : 07/07/2006
Last Update Date : 12/12/2025

Similar Medicare Providers

1225072853 — SHERIDAN COMMUNITY HOSPITAL
Practice Location Address:
301 N MAIN ST
SHERIDAN, MI
48884-0279
Practice Phone: 989-291-3261
Practice Fax: 989-291-3062
1184289043 — SHERIDAN COMMUNITY HOSPITAL
Practice Location Address:
301 N MAIN ST
SHERIDAN, MI
48884-0279
Practice Phone: 989-291-3261
Practice Fax: 989-291-3062
1861492316 — MS. ELIZABETH J STEINLE P.A.C.
Practice Location Address:
303 CONGRESS ST
SHERIDAN, MI
48884-9215
Practice Phone: 989-291-5077
Practice Fax: 989-291-4348
1659371029 — DR. RONALD L STEURY D. O.
Practice Location Address:
303 CONGRESS ST
SHERIDAN, MI
48884-9215
Practice Phone: 989-291-5077
Practice Fax: 989-291-4348
1780642058 — STEPHEN FREY MD
Practice Location Address:
301 N MAIN ST
SHERIDAN, MI
48884-9235
Practice Phone: 989-291-3261
Practice Fax: 989-291-6121
1689618324 — SHERIDAN COMMUNITY HOSPITAL
Practice Location Address:
301 N MAIN ST
SHERIDAN, MI
48884-9235
Practice Phone: 989-291-3261
Practice Fax: 989-291-3062

Directions to “SHERIDAN COMMUNITY HOSPITAL ” 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.