| Organization Name: | INGHAM COUNTY MEDICAL CARE FACILITY |
| NPI Number: | 1124448154 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK H STEVENS (ADMINISTRATOR) |
| Mailing Address: | 3860 Dobie Rd Okemos |
| State: | MI US |
| Postal Code: | 488643704 |
| Phone Number: | 5173816100 |
| Fax Number: | 5173816201 |
| NPI Enumeration Date: | 04/17/2014 |
| NPI Last Update Date: | 06/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |