| Organization Name: | EATON RAPIDS MEDICAL CENTER |
| NPI Number: | 1588810709 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY J. JOHNSON (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 1500 S Main St Eaton Rapids |
| State: | MI US |
| Postal Code: | 488271952 |
| Phone Number: | 5178574500 |
| Fax Number: | 5178574510 |
| NPI Enumeration Date: | 08/08/2008 |
| NPI Last Update Date: | 12/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 230010 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |