Organization
EATON RAPIDS MEDICAL CENTER
Active
Other names
Eaton Rapids Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY J. JOHNSON CPA (CHIEF EXECUTIVE OFFICER)
(517) 663-9474
Entity
Organization
Contact information
Practice address
1500 S MAIN ST, EATON RAPIDS, MI 48827-1952
(517) 663-2671
(517) 663-2472
Mailing address
1500 S MAIN ST, EATON RAPIDS, MI 48827-1952
(517) 663-2671
(517) 663-2472
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
230010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00197
BLUE CROSS
MI
05
—
5170569
—
MI
01
—
OB37608
MEDICARE PTAN
MI
Enumeration date
10/09/2006
Last updated
03/02/2022
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