MIDMICHIGAN HEALTH SERVICES NPI 1114278140

NPI Information

  • NPI: 1114278140
  • Provider Name: MIDMICHIGAN HEALTH SERVICES
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: MIDMICHIGAN MEDICAL OFFICES-BEAVERTON
  • CLIA Number: 23D0374579
  • Address: 439 S ROSS ST
    BEAVERTON, MI
    ZIP 48612
  • Phone: (989) 246-3500

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NPI Details

MIDMICHIGAN HEALTH SERVICES is a federally qualified health center (fqhc) clinic center in Beaverton, MI. MIDMICHIGAN HEALTH SERVICES NPI is 1114278140. The provider is registered as an organization entity type.
The provider Is Doing Business As Midmichigan Medical Offices-beaverton.

The provider's business location address is:

439 S ROSS ST
BEAVERTON, MI
ZIP 48612-101
Phone: (989) 246-3500
Fax: (989) 246-3519

The provider's authorized official is James P Raschke .
The authorized official title is Executive Director and has the following contact phone number (989) 422-5122.

The CLIA number assigned to this NPI record is 23D0374579 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/1/2012 and was last updated on 5/20/2014.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1231987MEDICARE PINMICHIGAN
20G27604MEDICARE PINMICHIGAN

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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