Organization
OCEANA COUNTY MEDICAL CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY K VANSICKLE (CHAIRMAN OF BOARD)
(231) 873-4052
Entity
Organization
Contact information
Practice address
701 E MAIN ST, HART, MI 49420-1168
(231) 873-6600
(231) 873-6030
Mailing address
701 E MAIN ST, HART, MI 49420-1168
(231) 873-6600
(231) 873-6030
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
648510
MI
314000000X
Skilled Nursing Facility
Primary
648510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2085114
—
MI
01
—
30910
BCBSM
MI
Enumeration date
07/13/2005
Last updated
07/26/2024
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