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NPI Code Detail

MEDICARE: MYMICHIGAN MEDICAL CENTER STANDISH

MEDICARE: MYMICHIGAN MEDICAL CENTER STANDISH
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
1275N00000XMedicare Defined Swing Bed Hospital Unit
2282NC0060XCritical Access Hospital060020MI

Other Identifiers

General Provider Information

NPI Number : 1659465094
Entity Type Code : Organization
Provider Name (Legal Business Name) : MYMICHIGAN MEDICAL CENTER STANDISH
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 : 805 W CEDAR ST
Second Line :
City : STANDISH
State : MI
Zip : 48658-9526
Country : US
Telephone Number : 989-846-4521
Fax Number : 989-846-3541
Authorized Official
Title or Position : MANAGER PATIENT ACCOUNTING
Name : SARAH JAMES
Credential :
Telephone Number : 989-701-4734
Provider Enumeration Date : 10/02/2006
Last Update Date : 03/02/2026

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Practice Location Address:
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1962595454 — MYMICHIGAN MEDICAL CENTER STANDISH
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805 W CEDAR ST
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Practice Fax:
1720166010 — MYMICHIGAN MEDICAL CENTER STANDISH
Practice Location Address:
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1922132539 — DR. DORAISAMY VENKITAPATHY M.D.
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Directions to “MYMICHIGAN MEDICAL CENTER STANDISH ” Practice Location

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