Organization
SHERIDAN COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LJILJANA PETRICEVIC (CEO)
(989) 291-6222
Entity
Organization
Contact information
Practice address
301 N MAIN ST, SHERIDAN, MI 48884-0279
(989) 291-3261
(989) 291-3062
Mailing address
301 N MAIN ST, PO BOX 279, SHERIDAN, MI 48884-0279
(989) 291-3261
(989) 291-3062
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4075055
—
MI
01
—
S9989
BCBSM SUPP SWING BED #
MI
Enumeration date
06/15/2006
Last updated
04/22/2021
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