Newaygo County General Hospital Association

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION

Practice address

204 W Main St
Fremont, MI 49412-1181

Phone

(231) 924-1122

Fax

(231) 924-1182

NPI assigned

Oct 5, 2006

Organization subpart

No

Name

Mr. Randall Stasik

Title

President Ceo

Phone

(231) 924-1340

• Gerber Home Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 21, 2013.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1154417012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S SULLIVAN AVE",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121548",
            "telephone_number": "231-924-3300",
            "fax_number": "231-924-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W MAIN ST",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121181",
            "telephone_number": "231-924-1122",
            "fax_number": "231-924-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "STASIK",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "231-924-1340",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "772947847",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152611786",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gerber Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Edward Muilenburg, LMSW
• Newaygo Area Radiology PC
• Newaygo County Counseling, PLLC
• Newaygo County General Hospital Association
• Newaygo County General Hospital Association
• Newaygo County General Hospital Association
• Newaygo County General Hospital Association
• Newaygo County General Hospital Association
• Newaygo County General Hospital Association
• Newaygo County General Hospital Association

• All providers in Fremont, MI
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.