Midmichigan Gladwin Pines
LBN: Midmichigan Gladwin Pines
Midmichigan Gladwin Pines is an health care organization with primary practice located at 449 Quarter St , Gladwin MI 48624-1918. 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.
Midmichigan Gladwin Pines can be contacted via phone (989) 426-3430, or through Wrzesinski, Jan via phone (989) 633-1486.
Contact Information
Primary practice address
449 Quarter St
Gladwin MI 48624-1918
Phone: (989) 426-3430
Fax: (989) 246-6331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 264028 | Michigan |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 1070000264 | Michigan |
Profile Details
| NPI number | 1447298849 |
|---|---|
| LBN Legal business name | Midmichigan Gladwin Pines |
| DBA Doing business as | |
| Authorized official | Wrzesinski, Jan |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Aug 26th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447298849 | NPPES |
| Michigan | MEDICAID | 1996373 | |
| Michigan | Other | 09904 |
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