DECKERVILLE COMMUNITY HOSPITAL INC. NPI 1164540555

NPI Information

NPI: 1164540555
Provider Name: DECKERVILLE COMMUNITY HOSPITAL, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
CLIA Number: 23D0372861
Address: 3559 PINE STREET
DECKERVILLE, MI
ZIP 48427
Phone: (810) 376-2835

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NPI Details

DECKERVILLE COMMUNITY HOSPITAL, INC. is a family medicine in Deckerville, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DECKERVILLE COMMUNITY HOSPITAL, INC. NPI is 1164540555. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3559 PINE STREET
DECKERVILLE, MI
ZIP 48427
Phone: (810) 376-2835
Fax: (810) 376-9412

The provider's authorized official is Kimberly Gentner .
The authorized official title is Cfo and has the following contact phone number (810) 376-2835.

The CLIA number assigned to this NPI record is 23D0372861 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 10/5/2017.

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	Primary
1	207P00000X	Emergency Medicine	No
2	207R00000X	Internal Medicine	No
3	208000000X	Pediatrics	No
4	208D00000X	General Practice	No
5	207Q00000X	Family Medicine	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
1	0M32640	MEDICARE PIN
2	G61003	OTHER	MICHIGAN	BCBSM
3	138358	OTHER	MICHIGAN	GREAT LAKES HEALTH PLAN

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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