Organization
MIDMICHIGAN HEALTH SERVICES
Active
Other names
MidMichigan Medical Offices - Roscommon
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL E MILNER MPH (EXECUTIVE DIRECTOR)
(989) 422-5148
Entity
Organization
Contact information
Practice address
135 LAKE ST, ROSCOMMON, MI 48653-7658
(989) 275-8931
(989) 275-4074
Mailing address
9249 W LAKE CITY RD, HOUGHTON LAKE, MI 48629-9602
(989) 422-5122
(989) 422-6838
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18010
BCBSM FACILITY CODE
MI
Enumeration date
05/21/2008
Last updated
09/13/2010
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