Midmichigan Health Park-Houghton Lake

LBN: Midmichigan Health Services
Midmichigan Health Park-Houghton Lake is an health care organization with primary practice located at 9249 W Lake City Rd , Houghton Lake MI 48629-9602. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Midmichigan Health Services can be contacted via phone (989) 422-5122, or through Raschke, James P. via phone (989) 422-5122.

Contact Information

Primary practice address
9249 W Lake City Rd Houghton Lake MI 48629-9602
Phone: (989) 422-5122
Fax: (989) 422-6838
Website:
Map and Directions
Authorized official contact:
Name: Raschke, James P.
Phone: (989) 422-5122

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 4301068191 Michigan

Profile Details

NPI number 1912998287
LBN Legal business name Midmichigan Health Services
DBA Doing business as Midmichigan Health Park-Houghton Lake
Authorized official Raschke, James P.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2005
Last updated Apr 22nd, 2015 - about 9 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 1912998287 NPPES
Michigan Other 18009 BCBSM FACILITY CODE

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