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NPI Code Detail

MEDICARE: MIDMICHIGAN HEALTH SERVICES

MEDICARE: MIDMICHIGAN HEALTH SERVICES
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
1261QF0400XFederally Qualified Health Center (FQHC)4301068191MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
118009OTHERMIBCBSM FACILITY CODE

General Provider Information

NPI Number : 1912998287
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDMICHIGAN HEALTH SERVICES
Provider Business Mailing Address
First Line : 9249 W LAKE CITY RD
Second Line :
City : HOUGHTON LAKE
State : MI
Zip : 48629-9602
Country : US
Telephone Number : 989-422-5122
Fax Number : 989-422-4378
Provider Business Practice Location Address
First Line : 9249 W LAKE CITY RD
Second Line :
City : HOUGHTON LAKE
State : MI
Zip : 48629-9602
Country : US
Telephone Number : 989-422-5122
Fax Number : 989-422-6838
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. JAMES P. RASCHKE
Credential :
Telephone Number : 989-422-5122
Provider Enumeration Date : 11/04/2005
Last Update Date : 04/22/2015

Similar Medicare Providers

1588651269 — DR. LISA A HARRINGTON D.O.
Practice Location Address:
9249 W LAKE CITY RD
HOUGHTON LAKE, MI
48629-9602
Practice Phone: 989-422-5122
Practice Fax: 989-422-4378
1487638300 — KEVIN T. DENLINGER D.O.
Practice Location Address:
9249 W LAKE CITY RD
HOUGHTON LAKE, MI
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1265418859 — ANTOINETTE M HELIIN P.A.-C
Practice Location Address:
9249 W LAKE CITY RD
HOUGHTON LAKE, MI
48629-9602
Practice Phone: 989-422-5122
Practice Fax: 989-422-4378
1871579466 — HEATHER R TONELLO P.A.-C
Practice Location Address:
9249 W LAKE CITY RD
HOUGHTON LAKE, MI
48629-9602
Practice Phone: 989-422-5122
Practice Fax: 989-422-4378
1073579546 — JUNE ANN STEFANKO FNP
Practice Location Address:
9249 W LAKE CITY RD
HOUGHTON LAKE, MI
48629-9602
Practice Phone: 989-422-5122
Practice Fax: 989-422-4378
1467498808 — DR. APRIL M NORTH MD
Practice Location Address:
9249 W LAKE CITY RD
HOUGHTON LAKE, MI
48629-9602
Practice Phone: 989-422-5122
Practice Fax: 989-422-4378

Directions to “MIDMICHIGAN HEALTH SERVICES ” Practice Location

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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.

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