DECKERVILLE COMMUNITY HOSPITAL INC NPI 1013799469

NPI Information

  • NPI: 1013799469
  • Provider Name: DECKERVILLE COMMUNITY HOSPITAL, INC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: PORT SANILAC HEALTHCARE
  • CLIA Number: 23D2297820
  • Address: 245 S RIDGE ST
    PORT SANILAC, MI
    ZIP 48469
  • Phone: (810) 376-2835

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NPI Details

DECKERVILLE COMMUNITY HOSPITAL, INC is a clinic center in Port Sanilac, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DECKERVILLE COMMUNITY HOSPITAL, INC NPI is 1013799469. The provider is registered as an organization entity type.
The provider Is Doing Business As Port Sanilac Healthcare.

The provider's business location address is:

245 S RIDGE ST
PORT SANILAC, MI
ZIP 48469-704
Phone: (810) 376-2835

The provider's authorized official is Angela Mcconnachie .
The authorized official title is Ceo and has the following contact phone number (989) 635-4000.

The CLIA number assigned to this NPI record is 23D2297820 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2023 and was last updated on 12/14/2023.

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
1261Q00000XClinic/CenterYes

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: 11/21/2025

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