Mymichigan Medical Center Tawas

Organization Active NPI General Acute Care Hospital · Tawas City, MI

NPI 1194713461 · NPPES record last updated Jan 14, 2026

Key facts

NPI
1194713461
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
350010 (MI)
Legal business name
MYMICHIGAN MEDICAL CENTER TAWAS
Practice address
200 Hemlock St
Tawas City, MI 48763-9237
Phone
(989) 362-3411
Fax
(989) 362-4683
NPI assigned
Oct 11, 2005
Organization subpart
No

Authorized official

Name
Sarah James
Title
Manager Patient Accounting
Phone
(989) 701-4734

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 30

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 30

Practitioners 74

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 74

Affiliated clinicians 204

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 204

Medicare Care Compare: Hospital

Listed as
Tawas St Joseph Hospital CCN 230100
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in MI

Rural health clinic certification: CCN 238911

Legal name
MYMICHIGAN MEDICAL CENTER TAWAS
Doing business as
MYMICHIGAN BEECH STREET BUILDING
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 13, 2010
Last certification
Jan 10, 2024
Ownership / control type
2B
Organization structure
Corporation · Non-profit
Enrollment address
110 Beech St
Ste a
Tawas City, MI 48763-8314

Hospital certification: CCN 230100

Legal name
MYMICHIGAN MEDICAL CENTER TAWAS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 20, 2011
Beds
60
Ownership / control type
Hospital district or authority
Organization structure
Corporation · Non-profit
Enrollment address
200 Hemlock Rd
Tawas City, MI 48763-2000
Main/Primary Hospital Location
Hospital subgroups
Acute care

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marcia Mastracci Ditmyer
Individual
Corporate Officer
Board of Directors
Aug 1, 2024
Corporate Officer
Board Member
Aug 1, 2024
Bapineedu Maganti
Individual
Corporate Officer Aug 1, 2024
Corporate Officer
Board Member
Aug 1, 2024
Mary Catherine Hannah
Individual
Corporate Officer
Board of Directors
Aug 1, 2024
Corporate Officer
Board Member
Aug 1, 2024
Charity Higgins
Individual
Corporate Director
Director Physicians Operation
Aug 18, 2015
W-2 Managing Employee Aug 18, 2015
Corporate Director
Director of Medical Practices
Jan 1, 2017 5%
W-2 Managing Employee
Director of Medical Practices
Jan 1, 2017
Sarah James
Individual
W-2 Managing Employee Jul 1, 2024
Corporate Officer
Manager, Provider Enrollment
Oct 27, 2025
Steve Meyer
Individual
Corporate Officer
Board of Directors
Aug 1, 2024
Corporate Officer
Board Member
Aug 1, 2024
Elizabeth Scribner
Individual
W-2 Managing Employee Aug 1, 2024
John Freel
Individual
Corporate Officer
Board of Directors
Aug 1, 2024
Corporate Officer
Board Member
Aug 1, 2024
Laurilee McCord
Individual
Other
Credentialing Coordinator
Jan 1, 2019
W-2 Managing Employee
Credentialing Coordinator
Jul 1, 2018
Samantha Hunter
Individual
W-2 Managing Employee May 13, 2025
W-2 Managing Employee Oct 27, 2025
Bryan R Cross
Individual
Corporate Officer
Board of Directors
Aug 1, 2024
Corporate Officer
Board Member
Aug 1, 2024
Brodi Katelyn Lynch
Individual
Corporate Officer
Board of Directors
Aug 1, 2024
Corporate Officer
Board Member
Aug 1, 2024
Ronald a Bays
Individual
Corporate Officer
Board of Directors
Aug 1, 2024
Corporate Officer
Board Member
Aug 1, 2024
Amanda Peirce
Individual
Corporate Director Aug 1, 2024
Heather Bauman
Individual
Corporate Officer
Board of Directors
Aug 1, 2024
Corporate Officer
Board Member
Aug 1, 2024
Tina Church
Individual
Corporate Director Aug 1, 2024
Mymichigan Health
Organization · Midland, MI
Chain home office
Operational/Managerial Control Aug 1, 2024 100%
5% Or Greater Direct Ownership Interest Aug 1, 2024 100%
Michael Erickson
Individual
Corporate Officer
President
Aug 1, 2024
Corporate Officer
Board Member
Aug 1, 2024
Mark Flegenheimer
Individual
Corporate Officer
Board of Directors
Aug 1, 2024
Corporate Officer
Board Member
Aug 1, 2024
Andrew Bethune
Individual
Corporate Officer
Board of Directors
Aug 1, 2024
Corporate Officer
Board Member
Aug 1, 2024
Tricia Gorde
Individual
Corporate Director
Director of Operations
Jan 20, 2025
Corporate Director
Director, Provider Enrollment
Oct 27, 2025
Jimmy Greene
Individual
Corporate Officer
Board of Directors
Aug 1, 2024
Corporate Officer
Board Member
Aug 1, 2024
Mymichigan Medical Center Tawas
Organization · Tawas City, MI
Corporation
Operational/Managerial Control Aug 1, 2024 100%
Terence Moore
Individual
Corporate Director
Board Member
Aug 1, 2024
Corporate Officer
Board Member
Aug 1, 2024
Jo S May
Individual
Corporate Officer
Board Member
Aug 1, 2024

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mymichigan Health Park Oscoda
Oscoda, MI · CCN 233985
Rural health clinic Operational/Managerial Control (100%) Aug 1, 2024
Mymichigan Internal Medicine
Tawas City, MI · CCN 233986
Rural health clinic Operational/Managerial Control (100%) Aug 1, 2024
Mymichigan Obstretics & Gynecology
Tawas City, MI · CCN 238534
Rural health clinic Operational/Managerial Control (100%) Aug 1, 2024
Mymichigan Family Medicine
Au Gres, MI · CCN 238570
Rural health clinic Operational/Managerial Control (100%) Aug 1, 2024
Mymichigan Family Medicine
Hale, MI · CCN 238538
Rural health clinic Operational/Managerial Control (100%) Oct 25, 2025
Mymichigan Family Medicine
Tawas City, MI · CCN 233991
Rural health clinic Operational/Managerial Control (100%) Oct 25, 2025
Mymichigan Beech Street Building
Tawas City, MI · CCN 238911
Rural health clinic Operational/Managerial Control (100%) Aug 1, 2024

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040202000682 MI Part B Supplier - Clinic/Group Practice 9638070766 Receives reassigned benefits from 58 practitioners
5 other NPIs on this enrollment
Practice locations: Tawas City, MI; West Branch, MI; Standish, MI; Au Gres, MI; Hale, MI; Oscoda, MI
O20091231000399 MI Part a Provider - Rural Health Clinic 9638070766 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tawas City, MI
O20100719000712 MI Part a Provider - Hospital 9638070766 5 other NPIs on this enrollment
Practice locations: Tawas City, MI; Oscoda, MI; Hale, MI; Au Gres, MI

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 350010 MI Yes

Addresses

Primary practice location

200 Hemlock St
Tawas City, MI 48763-9237

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956

Other identifiers

IdentifierTypeStateIssuer
00209OtherMIBCBS

Other names

  • Ascension St Joseph Hospital Doing business as

Other providers in Tawas City, MI

All providers in Tawas City, MI · General Acute Care Hospital in Michigan

Sources for this page

Verify at the official NPI Registry.