Organization Active NPI

Midmichigan Infusion Care

  • Home Infusion Agency
  • Beaverton, MI
National Provider Identifier
1073515664
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
License
5301007845 Issued in MI
Legal business name
MIDMICHIGAN INFUSION CARE
Practice address
4568 M 30
Beaverton, MI 48612-8548
Phone
(989) 435-2631
Fax
(989) 435-2801
NPI assigned
Aug 12, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas Tomaski, RPH
Title
President
Phone
(800) 732-4879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X 5301007845 MI Primary

Addresses

Primary practice location

4568 M 30
Beaverton, MI 48612-8548

Mailing address

4568 M 30
Beaverton, MI 48612-8548
Phone (989) 435-2631

National Provider Directory

National Provider Directory

Locations

4568 M 30
Beaverton, MI 48612
Phone (989) 435-2631

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073515664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4568 M 30",
            "city": "BEAVERTON",
            "state": "MI",
            "postal_code": "486128548",
            "telephone_number": "989-435-2631",
            "fax_number": "989-435-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4568 M 30",
            "city": "BEAVERTON",
            "state": "MI",
            "postal_code": "486128548",
            "telephone_number": "989-435-2631",
            "fax_number": "989-435-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDMICHIGAN INFUSION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOMASKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-732-4879",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "MI",
            "license": "5301007845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.