Manton Medical Center PC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MANTON MEDICAL CENTER PC

Practice address

115 E 7TH St
Manton, MI 49663-9429

Phone

(231) 824-9672

NPI assigned

Jan 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott M. Brown, PA-CNPI 1760581383

Title

Owner

Phone

(231) 824-9672

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Martin Brown, DMS, PA-C

  • Physician Assistant
  • Newaygo, MI
  • NPI 1760581383
  NPD (past) Authorized official

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073660502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 7TH ST",
            "city": "MANTON",
            "state": "MI",
            "postal_code": "496639429",
            "telephone_number": "231-824-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 7TH ST",
            "city": "MANTON",
            "state": "MI",
            "postal_code": "496639429",
            "telephone_number": "231-824-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTON MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-824-9672",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Long
• Magnolia Care Afc Home LLC
• Manton Family Pharmacy Inc (Manton Family Pharmacy LTC)
• Manton Family Pharmacy Inc (Bosticks Drugstore)
• Manton Health Center,P LLC
• Manton Medical Equipment, LLC
• Telsa Bree McBride
• Zachary Moffit
• Emily Lauren Moses, P.A.
• Kathleen Shawn Partin

• Rural Health Clinic/Center in Manton, MI
• Providers in Manton, MI by specialty
• Rural Health Clinic/Center in Michigan

• 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.