Iosco Medical Care Facility

LBN: Iosco Medical Care Facility
Iosco Medical Care Facility is an health care organization with primary practice located at 1201 Harris Ave , Tawas City MI 48763-9680. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Iosco Medical Care Facility can be contacted via phone (989) 362-4424, or through Look, Jon R. via phone (989) 362-4424.

Contact Information

Primary practice address
1201 Harris Ave Tawas City MI 48763-9680
Fax: (989) 362-4904
Website:
Authorized official contact:
Name: Look, Jon R. NHA

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 414350 Michigan

Profile Details

NPI number 1760470017
LBN Legal business name Iosco Medical Care Facility
DBA Doing business as
Authorized official Look, Jon R. NHA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2005
Last updated May 15th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760470017 NPPES
Michigan MEDICAID 2085508
Michigan MEDICAID 4975303

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