Midmichigan Health Services

NPI #1114278140 in Beaverton, Michigan

Provider Information

NPI Number
1114278140
Entity Type
Organization
Organization Name
Midmichigan Health Services
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Oct 1, 2012
Last Updated
May 20, 2014

Practice Location

Address
439 S ROSS ST
ZIP Code
48612-9101
Phone
(989) 246-3500

Authorized Official

Name
JAMES P RASCHKE, MBA
Title
EXECUTIVE DIRECTOR
Phone
(989) 422-5122

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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