EATON RAPIDS MEDICAL CENTER NPI 1417044660

NPI Information

NPI: 1417044660
Provider Name: EATON RAPIDS MEDICAL CENTER

Former Legal Business Name: EATON RAPIDS COMMUNITY HOSPITAL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
1500 S MAIN ST
EATON RAPIDS, MI
ZIP 48827
Phone: (517) 663-2671
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EATON RAPIDS MEDICAL CENTER is a critical access general acute care hospital in Eaton Rapids, MI. The provider is definition to come. EATON RAPIDS MEDICAL CENTER NPI is 1417044660. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Eaton Rapids Community Hospital.

The provider's business location address is:

1500 S MAIN ST
EATON RAPIDS, MI
ZIP 48827-952
Phone: (517) 663-2671
Fax: (517) 663-2472

The provider's authorized official is Timothy J. Johnson .
The authorized official title is Chief Executive Officer and has the following contact phone number (517) 663-9474.

The CLIA number assigned to this NPI record is 23D0375552 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 3/2/2022.

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	282NC0060X	General Acute Care Hospital	Critical Access	230010	MICHIGAN	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	5170569	MEDICAID	MICHIGAN
2	OB37608	OTHER	MICHIGAN	MEDICARE PTAN
3	00197	OTHER	MICHIGAN	BLUE CROSS
4	OB37608	OTHER	MICHIGAN	BCBS GROUP PIN

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: 11/14/2023

NPI Synchronization or Removal

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