DECKERVILLE COMMUNITY HOSPITAL INC NPI 1619095718

NPI Information

NPI: 1619095718
Provider Name: DECKERVILLE COMMUNITY HOSPITAL, INC
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 23D1054784

Address:
3559 PINE STREET
DECKERVILLE, MI
ZIP 48427
Phone: (810) 376-2835
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DECKERVILLE COMMUNITY HOSPITAL, INC is a critical access general acute care hospital in Deckerville, MI. DECKERVILLE COMMUNITY HOSPITAL, INC NPI is 1619095718. The provider is registered as an organization entity type.

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 23D1054784 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2007 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	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	760010	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	201	OTHER	MICHIGAN	BCBSM
2	1557570	MEDICAID	MICHIGAN
3	23-1311	MEDICARE UPIN	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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