Organization
MIDMICHIGAN HEALTH SERVICES
Active
Other names
MIDMICHIGAN MEDICAL OFFICES-COMMUNITY MENTAL HEALTH FOR CENTRAL MICH
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P RASCHKE (EXECUTIVE DIRECTOR)
(989) 422-5122
Entity
Organization
Contact information
Practice address
218 FAST ICE DR, MIDLAND, MI 48642-6167
(989) 246-3500
(989) 246-3519
Mailing address
9249 W LAKE CITY RD, HOUGHTON LAKE, MI 48629-9602
(989) 422-5122
(989) 422-4378
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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