NPIMap

Organization Active NPI

Huron Memorial Hospital

  • Pediatrics Physician
  • Bad Axe, MI
National Provider Identifier
1194156638
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301089490 Issued in MI
Legal business name
HURON MEMORIAL HOSPITAL
Practice address
1060 S Van Dyke Rd
Bad Axe, MI 48413-9631
Phone
(989) 269-7606
Fax
(989) 269-7933
NPI assigned
Dec 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Ken Baranski
Title
VP/Cfo
Phone
(989) 803-7127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 4301089490 MI Primary

Addresses

Primary practice location

1060 S Van Dyke Rd
Bad Axe, MI 48413-9631

Mailing address

1060 S Van Dyke Rd
Bad Axe, MI 48413-9631
Phone (989) 269-7606

Other identifiers 1

IdentifierTypeStateIssuer
1861685307OtherMINPI

Other names 1

  • McLaren Thumb Region Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McLaren Thumb Region16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1194156638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 S VAN DYKE RD",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139631",
            "telephone_number": "989-269-7606",
            "fax_number": "989-269-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 S VAN DYKE RD",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139631",
            "telephone_number": "989-269-7606",
            "fax_number": "989-269-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "BARANSKI",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "989-803-7127"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301089490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861685307",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLaren Thumb Region",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bad Axe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.