Organization Name: | MIDMICHIGAN MEDICAL CENTER-GLADWIN |
NPI Number: | 1235248071 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAY STOVER (PRESIDENT) |
Mailing Address: | 515 Quarter St Gladwin |
State: | MI US |
Postal Code: | 486241959 |
Phone Number: | 9894269286 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 12/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 260011 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |