Organization
MIDMICHIGAN HEALTH SERVICES
Active
Other names
Northern Michigan Children's Assessment Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P RASCHKE (CEO)
(989) 422-2105
Entity
Organization
Contact information
Practice address
112 S 4TH ST, STE MEDICAL, ROSCOMMON, MI 48653-8904
(989) 422-5122
(989) 422-4378
Mailing address
9249 W LAKE CITY RD, HOUGHTON LAKE, MI 48629-9602
(989) 422-5122
(989) 422-4378
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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