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MYMICHIGAN MEDICAL CENTER ALMA NPI 1750309209


NPI Information

NPI: 1750309209
Provider Name: MYMICHIGAN MEDICAL CENTER ALMA

Doing Business As: MIDMICHIGAN GRATIOT CANCER CENTER

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 23D2162715

Address:
315 E WARWICK DR
SUITE C
ALMA, MI
ZIP 48801
Phone: (989) 463-9307
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MYMICHIGAN MEDICAL CENTER ALMA is a hematology and oncology internal medicine in Alma, MI. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. MYMICHIGAN MEDICAL CENTER ALMA NPI is 1750309209. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Midmichigan Gratiot Cancer Center.

The provider's business location address is:

315 E WARWICK DR
SUITE C
ALMA, MI
ZIP 48801-083
Phone: (989) 463-9307
Fax: (989) 463-9369

The provider's authorized official is Amanda M Peirce .
The authorized official title is Manager Patient Accounts and has the following contact phone number (989) 356-7597.

The CLIA number assigned to this NPI record is 23D2162715 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/17/2006 and was last updated on 10/18/2022.


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
1363A00000XPhysician AssistantMICHIGANNo
2207RH0003XInternal MedicineHematology & OncologyMICHIGANYes

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
10B91069OTHERMICHIGANBCBCM
2DF2354OTHERMICHIGANMEDICARE RAILROAD

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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