Organization Name: | NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION |
NPI Number: | 1013040492 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RANDALL J STASIK (PRESIDENT) |
Mailing Address: | 230 S Maple St Grant |
State: | MI US |
Postal Code: | 493279006 |
Phone Number: | 2318345995 |
Fax Number: | 2318340248 |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 06/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |