Provider Type Icon

SKAGGS ASSISTED LIVING LLC. NPI 1205560315


NPI Information

NPI: 1205560315
Provider Name: SKAGGS ASSISTED LIVING, LLC.

Doing Business As: SOUTHERN MICHIGAN INTEGRATED HEALTHCARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 23D2265751

Address:
285 MCMAHON DR
BRONSON, MI
ZIP 49028
Phone: (517) 617-4058
Get Directions

SKAGGS ASSISTED LIVING, LLC. is a primary care clinic center in Bronson, MI. SKAGGS ASSISTED LIVING, LLC. NPI is 1205560315. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southern Michigan Integrated Healthcare.

The provider's business location address is:

285 MCMAHON DR
BRONSON, MI
ZIP 49028-434
Phone: (517) 617-4058
Fax: (517) 858-1062

The provider's authorized official is Julia Sue Skaggs .
The authorized official title is Administrator and has the following contact phone number (517) 617-4058.

The CLIA number assigned to this NPI record is 23D2265751 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2022 and was last updated on 3/15/2023.


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
1207Q00000XFamily MedicineNo
2261QP2300XClinic/CenterPrimary CareYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.