Organization
DECKERVILLE COMMUNITY HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY GENTNER (CFO)
(810) 376-2835
Entity
Organization
Contact information
Practice address
3559 PINE STREET, DECKERVILLE, MI 48427
(810) 376-2835
(810) 376-9412
Mailing address
3559 PINE ST, DECKERVILLE, MI 48427-7703
(810) 376-2835
(810) 376-9412
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
760010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1557570
—
MI
01
—
201
BCBSM
MI
Enumeration date
03/27/2007
Last updated
04/07/2026
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