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ASCENSION ST. MARY'S HOSPITAL NPI 1730388380


NPI Information

NPI: 1730388380
Provider Name: ASCENSION ST. MARY'S HOSPITAL

Doing Business As: ASCENSION MEDICAL GROUP BAY CITY FAMILY PHYSICIANS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D0929766

Address:
4040B N . EUCLID AVE
BAY CITY, MI
ZIP 48706
Phone: (989) 671-9153
Get Directions

ASCENSION ST. MARY'S HOSPITAL is a family medicine in Bay City, 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. ASCENSION ST. MARY'S HOSPITAL NPI is 1730388380. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ascension Medical Group Bay City Family Physicians.

The provider's business location address is:

4040B N . EUCLID AVE
BAY CITY, MI
ZIP 48706
Phone: (989) 671-9153
Fax: (989) 671-9253

The provider's authorized official is Laurilee Mccord .
The authorized official title is Enrollment Coord and has the following contact phone number (989) 362-9411.

The CLIA number assigned to this NPI record is 23D0929766 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2007 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
1207Q00000XFamily MedicineAC043757MICHIGANYes

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
13356140 TYPE 10MEDICAIDMICHIGAN

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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