Organization Name: | OCEANA COUNTY MEDICAL CARE FACILITY |
NPI Number: | 1417955477 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY L WILSON (ADMINISTRATOR) |
Mailing Address: | 701 E Main St Hart |
State: | MI US |
Postal Code: | 494201168 |
Phone Number: | 2318736600 |
Fax Number: | 2318736030 |
NPI Enumeration Date: | 07/13/2005 |
NPI Last Update Date: | 07/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | 648510 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |