Organization Name: | MIDMICHIGAN MEDICAL CENTER - CLARE |
NPI Number: | 1225081862 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY BARCO (PRESIDENT) |
Mailing Address: | 700 W 5th St Clare |
State: | MI US |
Postal Code: | 486179414 |
Phone Number: | 9893868861 |
Fax Number: | 9893868863 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |