Organization
EATON RAPIDS MEDICAL CENTER
Active
Organization
EATON RAPIDS MEDICAL CENTER
Active
Other names
Eaton Rapids Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY J JOHNSON (CHIEF EXECUTIVE OFFICER)
(517) 663-9474
Entity
Organization
Contact information
Practice address
1500 S MAIN ST, EATON RAPIDS, MI 48827-1952
(517) 663-2671
(517) 663-2472
Mailing address
1500 S MAIN ST, EATON RAPIDS, MI 48827-1952
(517) 663-2671
(517) 663-2472
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OM93480
BCBS CRNA PIN
MI
Enumeration date
01/11/2007
Last updated
03/02/2022
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