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MEADOW BROOK MEDICAL CARE FACILITY NPI 1790179828


NPI Information

NPI: 1790179828
Provider Name: MEADOW BROOK MEDICAL CARE FACILITY

Doing Business As: MEADOW BROOK OUTPATIENT THERAPY

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
4543 S M 88 HWY
BELLAIRE, MI
ZIP 49615
Phone: (231) 533-8661
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MEADOW BROOK MEDICAL CARE FACILITY is a rehabilitation clinic center in Bellaire, MI. MEADOW BROOK MEDICAL CARE FACILITY NPI is 1790179828. The provider is registered as an organization entity type.
The provider Is Doing Business As Meadow Brook Outpatient Therapy.

The provider's business location address is:

4543 S M 88 HWY
BELLAIRE, MI
ZIP 49615-109
Phone: (231) 533-8661
Fax: (231) 533-4841

The provider's authorized official is Marna Robertson .
The authorized official title is Administrator and has the following contact phone number (231) 533-8661.

The enumeration date for this NPI number is 3/26/2015 and was last updated on 12/12/2016.


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
1261QR0400XClinic/CenterRehabilitationYes

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
161-2085141MEDICAIDMICHIGAN

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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