MYMICHIGAN MEDICAL CENTER SAULT NPI 1720145303

NPI Information

NPI: 1720145303
Provider Name: MYMICHIGAN MEDICAL CENTER SAULT

Doing Business As: MYMICHIGAN COMMUNITY CARE CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
509 OSBORN BLVD
SAULT SAINTE MARIE, MI
ZIP 49783
Phone: (906) 635-4460
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MYMICHIGAN MEDICAL CENTER SAULT is a rural health clinic center in Sault Sainte Marie, MI. MYMICHIGAN MEDICAL CENTER SAULT NPI is 1720145303. The provider is registered as an organization entity type.
The provider Is Doing Business As Mymichigan Community Care Clinic.

The provider's business location address is:

509 OSBORN BLVD
SAULT SAINTE MARIE, MI
ZIP 49783-069
Phone: (906) 635-4460

The provider's authorized official is Kevin Kalchik .
The authorized official title is President and has the following contact phone number (906) 635-4460.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 1/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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