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SOUTHERNCARE INC. NPI 1003854472


NPI Information

NPI: 1003854472
Provider Name: SOUTHERNCARE, INC.

Doing Business As: SOUTHERNCARE SAGINAW

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
6272 STATE ST
SAGINAW, MI
ZIP 48603
Phone: (989) 790-7533
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SOUTHERNCARE, INC. is a hospice care community based in Saginaw, MI. SOUTHERNCARE, INC. NPI is 1003854472. The provider is registered as an organization entity type.
The provider Is Doing Business As Southerncare Saginaw.

The provider's business location address is:

6272 STATE ST
SAGINAW, MI
ZIP 48603-429
Phone: (989) 790-7533
Fax: (989) 790-7574

The provider's authorized official is Janet Combs .
The authorized official title is Vp Of Licensure and has the following contact phone number (913) 814-2013.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 10/13/2022.


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
1251G00000XHospice Care, Community Based733514MICHIGANNo
2251G00000XHospice Care, Community Based1041000082MICHIGANYes

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
115 4747077MEDICAIDMICHIGAN
215/4747077MEDICAIDMICHIGAN

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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