SANFORD MEDICAL CENTER P C NPI 1396850418

NPI Information

NPI: 1396850418
Provider Name: SANFORD MEDICAL CENTER P C
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
26 E SAGINAW RD
UNIT 4
SANFORD, MI
ZIP 48657
Phone: (989) 687-7812
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SANFORD MEDICAL CENTER P C is a health service clinic center in Sanford, MI. SANFORD MEDICAL CENTER P C NPI is 1396850418. The provider is registered as an organization entity type.

The provider's business location address is:

26 E SAGINAW RD
UNIT 4
SANFORD, MI
ZIP 48657-293
Phone: (989) 687-7812
Fax: (989) 687-7813

The provider's authorized official is Hicham Churbaji .
The authorized official title is President and has the following contact phone number (989) 687-7812.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 4/22/2008.

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
1	261QH0100X	Clinic/Center	Health Service			Yes

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
1	0N98270	MEDICARE PIN	MICHIGAN
2	Q79514	MEDICARE UPIN	MICHIGAN
3	P41150	MEDICARE UPIN	MICHIGAN
4	4979886	MEDICAID	MICHIGAN
5	4618015	MEDICAID	MICHIGAN
6	H22298	MEDICARE UPIN	MICHIGAN

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

NPI Synchronization or Removal

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