# OCEANA COUNTY MEDICAL CARE FACILITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417955477
- **Authorized official:** MR. LARRY K VANSICKLE (CHAIRMAN OF BOARD)
- **Authorized official phone:** (231) 873-4052

## Contact information

- **Practice address:** 701 E MAIN ST, HART, MI 49420-1168
- **Practice address phone:** (231) 873-6600
- **Practice address fax:** (231) 873-6030
- **Mailing address:** 701 E MAIN ST, HART, MI 49420-1168
- **Mailing address phone:** (231) 873-6600
- **Mailing address fax:** (231) 873-6030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 648510 | MI | — |
| 314000000X | Skilled Nursing Facility | 648510 | MI | Yes |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 07/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2085114 | — | MI |
| 01 | — | 30910 | BCBSM | MI |