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Organization

NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION

Active
Other names
Gerber Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDALL STASIK (PRESIDENT CEO)
(231) 924-1340
Entity
Organization

Contact information

Practice address
204 W MAIN ST, FREMONT, MI 49412-1181
(231) 924-1122
(231) 924-1182
Mailing address
212 S SULLIVAN AVE, FREMONT, MI 49412-1548
(231) 924-3300
(231) 924-1856

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152611786
MI
05
772947847
MI
Enumeration date
10/05/2006
Last updated
06/21/2013
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