Organization
MIDMICHIGAN GLADWIN PINES
Active
Parent organization
MIDMICHIGAN HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDMICHIGAN HEALTH
Authorized official
JAN WRZESINSKI (PATIENT ACCOUNTING MANAGER)
(989) 633-1486
Entity
Organization
Contact information
Practice address
449 QUARTER ST, GLADWIN, MI 48624-1918
(989) 426-3430
(989) 246-6331
Mailing address
449 QUARTER ST, GLADWIN, MI 48624-1918
(989) 426-3430
(989) 246-6331
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1070000264
MI
314000000X
Skilled Nursing Facility
264028
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09904
BCBSM
MI
05
—
1996373
—
MI
Enumeration date
06/04/2006
Last updated
08/26/2013
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