EATON RAPIDS MEDICAL CENTER NPI 1588810709

NPI Information

NPI: 1588810709
Provider Name: EATON RAPIDS MEDICAL CENTER

Doing Business As: SPRINGPORT MEDICAL CLINIC

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

Specialization: Rural Health

Address:
1500 S MAIN ST
EATON RAPIDS, MI
ZIP 48827
Phone: (517) 857-4500
Get Directions

EATON RAPIDS MEDICAL CENTER is a rural health clinic center in Eaton Rapids, MI. EATON RAPIDS MEDICAL CENTER NPI is 1588810709. The provider is registered as an organization entity type.
The provider Is Doing Business As Springport Medical Clinic.

The provider's business location address is:

1500 S MAIN ST
EATON RAPIDS, MI
ZIP 48827-952
Phone: (517) 857-4500
Fax: (517) 857-4510

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 23D1087090 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2008 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	261QR1300X	Clinic/Center	Rural Health	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	OB37608	OTHER	MICHIGAN	MEDICARE PTAN
2	5170569	MEDICAID	MICHIGAN

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

NPI Synchronization or Removal

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