# NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gerber Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154417012
- **Authorized official:** MR. RANDALL STASIK (PRESIDENT CEO)
- **Authorized official phone:** (231) 924-1340

## Contact information

- **Practice address:** 204 W MAIN ST, FREMONT, MI 49412-1181
- **Practice address phone:** (231) 924-1122
- **Practice address fax:** (231) 924-1182
- **Mailing address:** 212 S SULLIVAN AVE, FREMONT, MI 49412-1548
- **Mailing address phone:** (231) 924-3300
- **Mailing address fax:** (231) 924-1856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 06/21/2013
