Organization
MYMICHIGAN MEDICAL CENTER MIDLAND
Active
Other names
MyMichigan Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JAMES (MANAGER, PROVIDER ENROLLMENT)
(989) 701-4734
Entity
Organization
Contact information
Practice address
6810 EASTMAN AVE, MIDLAND, MI 48642-7805
(989) 633-1400
(989) 633-1464
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(989) 633-1400
(989) 633-1464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801075314
MI
1041C0700X
Clinical Social Worker
6801082428
MI
251E00000X
Home Health Agency
Primary
—
—
363L00000X
Nurse Practitioner
4704176891
MI
363L00000X
Nurse Practitioner
4704179544
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E024
BLUE CROSS
MI
05
—
5173909 15
—
MI
Enumeration date
07/08/2006
Last updated
01/14/2026
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