Organization
ISABELLA COUNTY MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NETANIS BAUMANN (ADMINISTRATOR)
(989) 772-2957
Entity
Organization
Contact information
Practice address
1222 NORTH DR, MT PLEASANT, MI 48858-3200
(989) 772-2957
(989) 772-3669
Mailing address
1222 NORTH DR, MT PLEASANT, MI 48858-3200
(989) 772-2957
(989) 772-3669
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
378510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09634
BLUE CROSS OF MICHIGAN
MI
05
—
4952800
—
MI
Enumeration date
06/02/2005
Last updated
01/16/2015
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