# MIDMICHIGAN GLADWIN PINES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIDMICHIGAN HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447298849
- **Legal business name:** MIDMICHIGAN HEALTH
- **Authorized official:** JAN WRZESINSKI (PATIENT ACCOUNTING MANAGER)
- **Authorized official phone:** (989) 633-1486

## Contact information

- **Practice address:** 449 QUARTER ST, GLADWIN, MI 48624-1918
- **Practice address phone:** (989) 426-3430
- **Practice address fax:** (989) 246-6331
- **Mailing address:** 449 QUARTER ST, GLADWIN, MI 48624-1918
- **Mailing address phone:** (989) 426-3430
- **Mailing address fax:** (989) 246-6331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1070000264 | MI | Yes |
| 314000000X | Skilled Nursing Facility | 264028 | MI | — |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 08/26/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09904 | BCBSM | MI |
| 05 | — | 1996373 | — | MI |