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Organization
MIDMICHIGAN GLADWIN PINES
Active
Organization
MIDMICHIGAN GLADWIN PINES
Active
Parent organization
MIDMICHIGAN HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDMICHIGAN HEALTH
Authorized official
JAN WRZESINSKI (PATIENT ACCOUNTING MANAGER)
(989) 633-1486
Entity
Organization
Contact information
Practice address
449 QUARTER ST, GLADWIN, MI 48624-1918
(989) 426-3430
(989) 246-6331
Mailing address
449 QUARTER ST, GLADWIN, MI 48624-1918
(989) 426-3430
(989) 246-6331
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1070000264
MI
314000000X
Skilled Nursing Facility
264028
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09904
BCBSM
MI
05
—
1996373
—
MI
Enumeration date
06/04/2006
Last updated
08/26/2013
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