Organization
COUNTY OF CASS
Active
Other names
Cass County Medical Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MERRI TERBORGH (ADMINISTRATOR)
(269) 445-3801
Entity
Organization
Contact information
Practice address
23770 HOSPITAL ST, CASSOPOLIS, MI 49031-9644
(269) 445-3801
Mailing address
23770 HOSPITAL ST, CASSOPOLIS, MI 49031-9644
(269) 445-3801
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09538
BLUE CROSS
MI
05
—
2085160
—
MI
Enumeration date
09/27/2005
Last updated
12/11/2008
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