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MID MICHIGAN MEDICAL CORPORATION PC NPI 1972965473


NPI Information

NPI: 1972965473
Provider Name: MID MICHIGAN MEDICAL CORPORATION PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D2152678

Address:
863 N PINE RD
SUITE E
ESSEXVILLE, MI
ZIP 48732
Phone: (989) 895-8514
Get Directions

MID MICHIGAN MEDICAL CORPORATION PC is a family medicine in Essexville, 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. MID MICHIGAN MEDICAL CORPORATION PC NPI is 1972965473. The provider is registered as an organization entity type.

The provider's business location address is:

863 N PINE RD
SUITE E
ESSEXVILLE, MI
ZIP 48732-159
Phone: (989) 895-8514
Fax: (989) 895-8516

The provider's authorized official is James Joseph .
The authorized official title is Owner and has the following contact phone number (989) 895-5090.

The CLIA number assigned to this NPI record is 23D2152678 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2016 and was last updated on 4/5/2019.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2207Q00000XFamily MedicineYes

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
17706200001OTHERMICHIGANMEDICARE NSC

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.