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MIDMICHIGAN CARDIOLOGY PC NPI 1598954836


NPI Information

NPI: 1598954836
Provider Name: MIDMICHIGAN CARDIOLOGY, PC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 23D2086742

Address:
609 QUARTER ST
GLADWIN, MI
ZIP 48624
Phone: (989) 246-6461
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MIDMICHIGAN CARDIOLOGY, PC is a specialist in Gladwin, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MIDMICHIGAN CARDIOLOGY, PC NPI is 1598954836. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

609 QUARTER ST
GLADWIN, MI
ZIP 48624-941
Phone: (989) 246-6461
Fax: (989) 246-9467

The provider's authorized official is Nathaniel Rohde Woodruff .
The authorized official title is Owner and has the following contact phone number (989) 832-0100.

The CLIA number assigned to this NPI record is 23D2086742 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2007 and was last updated on 10/23/2007.


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
1174400000XSpecialistNW065098MICHIGANYes

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
10N88190MEDICARE PINMICHIGAN
23423708MEDICAIDMICHIGAN
3E57785MEDICARE UPINMICHIGAN

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.