| Organization Name: | ST JOSEPH HEALTH SYSTEM INC |
| NPI Number: | 1396997045 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARITY HIGGINS (DIR-MEDICAL PRACTICES) |
| Mailing Address: | 200 Hemlock St Tawas City |
| State: | MI US |
| Postal Code: | 487639237 |
| Phone Number: | 9893629415 |
| Fax Number: | 9893624683 |
| NPI Enumeration Date: | 10/14/2008 |
| NPI Last Update Date: | 02/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |