MIDMICHIGAN HEALTH SERVICES NPI 1912998287

NPI Information

  • NPI: 1912998287
  • Provider Name: MIDMICHIGAN HEALTH SERVICES
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: MIDMICHIGAN HEALTH PARK-HOUGHTON LAKE
  • CLIA Number: 23D2036102
  • Address: 9249 W LAKE CITY RD
    HOUGHTON LAKE, MI
    ZIP 48629
  • Phone: (989) 422-5122

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NPI Details

MIDMICHIGAN HEALTH SERVICES is a federally qualified health center (fqhc) clinic center in Houghton Lake, MI. MIDMICHIGAN HEALTH SERVICES NPI is 1912998287. The provider is registered as an organization entity type.
The provider Is Doing Business As Midmichigan Health Park-houghton Lake.

The provider's business location address is:

9249 W LAKE CITY RD
HOUGHTON LAKE, MI
ZIP 48629-602
Phone: (989) 422-5122
Fax: (989) 422-6838

The provider's authorized official is James P. Raschke .
The authorized official title is Executive Director and has the following contact phone number (989) 422-5122.

The CLIA number assigned to this NPI record is 23D2036102 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2005 and was last updated on 4/22/2015.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)4301068191MICHIGANYes

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
1231819MEDICARE OSCAR/CERTIFICATIONMICHIGAN
20G27604MEDICARE PINMICHIGAN
318009OTHERMICHIGANBCBSM FACILITY CODE

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: 3/30/2025

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