ASCENSION ST JOSEPH HOSPITAL NPI 1164410841

NPI Information

NPI: 1164410841
Provider Name: ASCENSION ST JOSEPH HOSPITAL

Doing Business As: ASCENSION ST JOSEPH HOSPITAL INTERNAL MEDICINE CLINIC

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

Specialization: Rural Health

Address:
295 MAPLE ST
SUITE 202
TAWAS CITY, MI
ZIP 48763
Phone: (989) 362-6108
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ASCENSION ST JOSEPH HOSPITAL is a rural health clinic center in Tawas City, MI. ASCENSION ST JOSEPH HOSPITAL NPI is 1164410841. The provider is registered as an organization entity type.
The provider Is Doing Business As Ascension St Joseph Hospital Internal Medicine Clinic.

The provider's business location address is:

295 MAPLE ST
SUITE 202
TAWAS CITY, MI
ZIP 48763-352
Phone: (989) 362-6108
Fax: (989) 362-0161

The provider's authorized official is Laurie Mccord .
The authorized official title is Credentialing Coordinator and has the following contact phone number (989) 362-9411.

The CLIA number assigned to this NPI record is 23D0897011 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2005 and was last updated on 8/3/2020.

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

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