MYMICHIGAN MEDICAL GROUP NPI 1144722604

NPI Information

NPI: 1144722604
Provider Name: MYMICHIGAN MEDICAL GROUP

Doing Business As: MYMICHIGAN FAMILY MEDICINE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
211 LONG RAPIDS RD
ALPENA, MI
ZIP 49707
Phone: (989) 354-2142
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MYMICHIGAN MEDICAL GROUP is a rural health clinic center in Alpena, MI. MYMICHIGAN MEDICAL GROUP NPI is 1144722604. The provider is registered as an organization entity type.
The provider Is Doing Business As Mymichigan Family Medicine.

The provider's business location address is:

211 LONG RAPIDS RD
ALPENA, MI
ZIP 49707-315
Phone: (989) 354-2142

The provider's authorized official is Amanda M Peirce .
The authorized official title is Manager and has the following contact phone number (989) 356-7597.

The CLIA number assigned to this NPI record is 23D0916828 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2018 and was last updated on 3/16/2023.

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	261QR1300X	Clinic/Center	Rural Health			Yes

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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