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NPI Code Detail

MEDICARE: BIRCHWOOD NURSING CENTER INC.

MEDICARE: BIRCHWOOD NURSING CENTER INC.
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 Facility284020MI

Other Identifiers

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

General Provider Information

NPI Number : 1750338521
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIRCHWOOD NURSING CENTER INC.
Provider Business Mailing Address
First Line : 2950 LAFRANIER RD
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-4918
Country : US
Telephone Number : 231-947-0506
Fax Number : 231-947-0744
Provider Business Practice Location Address
First Line : 2950 LAFRANIER RD
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-4918
Country : US
Telephone Number : 231-947-0506
Fax Number : 231-947-0744
Authorized Official
Title or Position : DIRECTOR OF COMPLIANCE
Name : MS. DONNA J. MAASSEN
Credential :
Telephone Number : 414-908-8119
Provider Enumeration Date : 05/27/2006
Last Update Date : 04/10/2008

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Directions to “BIRCHWOOD NURSING CENTER INC. ” Practice Location

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