Organization Active NPI

Mymichigan Medical Center Alma

  • Rural Health Clinic/Center
  • Mount Pleasant, MI
National Provider Identifier
1013285865
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MYMICHIGAN MEDICAL CENTER ALMA
Practice address
4851 E Pickard St
Mount Pleasant, MI 48858-2078
Phone
(989) 775-1610
Fax
(989) 775-1640
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah James
Title
Manager, Provider Enrollment
Phone
(989) 701-4734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

4851 E Pickard St
Mount Pleasant, MI 48858-2078

Mailing address

4000 Wellness Dr
Midland, MI 48670-0001
Phone (844) 832-1956

Other names 1

  • MidMichigan Health Park-Mt Pleasant Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110216000984 MI Part A Provider - Rural Health Clinic 3375451404 1 other NPI on this enrollment
Practice locations: Mt Pleasant, MI

Rural health clinic certification: CCN 238645

Legal name
MYMICHIGAN MEDICAL CENTER ALMA
Doing business as
MYMICHIGAN FAMILY & INTERNAL MEDICINE & PEDIATRICS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 30, 2012
Last certification
Nov 19, 2025
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
4851 E Pickard St
Mt Pleasant, MI 48858-2029
Related CCNs
230030

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mymichigan Medical Center Alma63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marita a Hattem-Schiffman Individual Corporate DirectorPresident Jul 10, 2017
OtherPresident Jul 10, 2017
Sarah James Individual Corporate OfficerManager of Operations, Pe Jul 1, 2025
Samantha Hunter Individual W-2 Managing Employee Jan 1, 2022
Jeffrey P Provenzano Individual Corporate OfficerVP/Cfo Dec 10, 2014
Corporate DirectorVP/Cfo Dec 10, 2014
Operational/Managerial ControlVP/Cfo Dec 10, 2014
Tricia Gorde Individual Corporate DirectorDirector of Operations Jan 20, 2025

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mymichigan Urgent Care AlmaAlma, MI, CCN 238522 Rural health clinic Operational/Managerial Control Jul 17, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1013285865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486700001",
            "telephone_number": "844-832-1956",
            "fax_number": "989-633-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 E PICKARD ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582078",
            "telephone_number": "989-775-1610",
            "fax_number": "989-775-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMICHIGAN MEDICAL CENTER ALMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "989-701-4734"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MidMichigan Health Park-Mt Pleasant",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MidMichigan Health Park-Mt Pleasant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, MI

Sources for this page

Verify at the official NPI Registry.