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Organization

MIDMICHIGAN HEALTH SERVICES

Active
Other names
MIDMICHIGAN MEDICAL OFFICES-BEAVERTON
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES P RASCHKE MBA (EXECUTIVE DIRECTOR)
(989) 422-5122
Entity
Organization

Contact information

Practice address
439 S ROSS ST, BEAVERTON, MI 48612-9101
(989) 246-3500
(989) 246-3519
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
10/01/2012
Last updated
05/20/2014
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