Active NPI
Ingham County Medical Care Facility
- Rehabilitation Clinic/Center
- Okemos, MI
National Provider Identifier
1124448154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- INGHAM COUNTY MEDICAL CARE FACILITY
- Practice address
- 3860 Dobie Rd
Okemos, MI 48864-3704 - Phone
- (517) 381-6100
- Fax
- (517) 381-6201
- NPI assigned
- Apr 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark H Stevens, NHA
- Title
- Administrator
- Phone
- (517) 381-6199
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
3860 Dobie Rd
Okemos, MI 48864-3704
Mailing address
3860 Dobie Rd
Okemos, MI 48864-3704
Phone (517) 381-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160628002131 | MI | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 3375847130 | Practice locations: Okemos, MI |
Outpatient physical therapy / speech pathology certification: CCN 236869
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- INGHAM COUNTY MEDICAL CARE FACILITY
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- Dec 18, 2014
- Last certification
- Oct 3, 2024
- Ownership / control type
- Local Government
- Facility address
- 3860 Dobie Road
Okemos, MI 48864
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- County of Ingham
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Lansing, MI
- NPI 1568560308
-
- Federally Qualified Health Center (FQHC)
- Lansing, MI
- NPI 1639422728
-
- Federally Qualified Health Center (FQHC)
- Lansing, MI
- NPI 1710386776
-
- Skilled Nursing Facility
- Okemos, MI
- NPI 1831195114
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603843200000",
"number": "1124448154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3860 DOBIE RD",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643704",
"telephone_number": "517-381-6100",
"fax_number": "517-381-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3860 DOBIE RD",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643704",
"telephone_number": "517-381-6100",
"fax_number": "517-381-6201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INGHAM COUNTY MEDICAL CARE FACILITY",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-17",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A",
"authorized_official_last_name": "STEVENS",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "517-381-6199",
"authorized_official_credential": "NHA"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.