SHERIDAN COMMUNITY HOSPITAL NPI 1689618324

NPI Information

NPI: 1689618324
Provider Name: SHERIDAN COMMUNITY HOSPITAL
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 23D0872369

Address:
301 N MAIN ST
SHERIDAN, MI
ZIP 48884
Phone: (989) 291-3261
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SHERIDAN COMMUNITY HOSPITAL is a critical access general acute care hospital in Sheridan, MI. SHERIDAN COMMUNITY HOSPITAL NPI is 1689618324. The provider is registered as an organization entity type.

The provider's business location address is:

301 N MAIN ST
SHERIDAN, MI
ZIP 48884-235
Phone: (989) 291-3261
Fax: (989) 291-3062

The provider's authorized official is Ljiljana Petricevic .
The authorized official title is Ceo and has the following contact phone number (989) 291-6222.

The CLIA number assigned to this NPI record is 23D0872369 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 4/22/2021.

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	282NC0060X	General Acute Care Hospital	Critical Access			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	Other Provider Identifier Issuer
1	1557346	MEDICAID	MICHIGAN
2	00057	OTHER	MICHIGAN	BCBSM PROVIDER #
3	5171898	MEDICAID	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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