Medilodge Of Tawas City

LBN: Tawas City Opco, Llc
Medilodge Of Tawas City is an health care organization with primary practice located at 400 North St W , Tawas City MI 48763-9161. 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. Tawas City Opco, Llc can be contacted via phone (989) 362-8645, or through Rogers, Stacey Paul via phone (502) 429-8062.

Contact Information

Primary practice address
400 North St W Tawas City MI 48763-9161
Phone: (989) 362-8645
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Stacey Paul
Phone: (502) 429-8062

Health care specialties

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

Profile Details

NPI number 1508383837
LBN Legal business name Tawas City Opco, Llc
DBA Doing business as Medilodge Of Tawas City
Authorized official Rogers, Stacey Paul
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2017
Last updated Feb 6th, 2019 - about 5 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 1508383837 NPPES
Michigan MEDICAID 1508383837

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