# MYMICHIGAN MEDICAL CENTER MIDLAND

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

## Provider details

- **NPI number:** 1639102163
- **Authorized official:** SARAH JAMES (MANAGER, PROVIDER ENROLLMENT)
- **Authorized official phone:** (989) 701-4734

## Contact information

- **Practice address:** 6810 EASTMAN AVE, MIDLAND, MI 48642-7805
- **Practice address phone:** (989) 633-1400
- **Practice address fax:** (989) 633-1464
- **Mailing address:** 4000 WELLNESS DR, MIDLAND, MI 48670-2000
- **Mailing address phone:** (989) 633-1400
- **Mailing address fax:** (989) 633-1464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 6801075314 | MI | — |
| 1041C0700X | Clinical Social Worker | 6801082428 | MI | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | 4704176891 | MI | — |
| 363L00000X | Nurse Practitioner | 4704179544 | MI | — |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 01/14/2026