NPIMap

Organization Active NPI

Reed City Hospital Corporation

  • Rural Health Clinic/Center
  • Tustin, MI
National Provider Identifier
1225236334
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
670021 Issued in MI
Legal business name
REED CITY HOSPITAL CORPORATION
Practice address
111 E Church St
Tustin, MI 49688-5114
Phone
(231) 832-8560
Fax
(231) 829-3469
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Thomas Knoerl
Title
Cfo
Phone
(231) 832-3277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 670021 MI Primary

Addresses

Primary practice location

111 E Church St
Tustin, MI 49688-5114

Mailing address

100 Michigan St NE
Mc845
Grand Rapids, MI 49503-2560

Other identifiers 1

IdentifierTypeStateIssuer
0F71000OtherMIBCBSM

Other names 1

  • Spectrum Health Reed City Hospital Tustin Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040210000104 MI Part B Supplier - Clinic/Group Practice 6406740695 Receives reassigned benefits from 167 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Reed City, MI

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1225236334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E CHURCH ST",
            "city": "TUSTIN",
            "state": "MI",
            "postal_code": "496885114",
            "telephone_number": "231-832-8560",
            "fax_number": "231-829-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REED CITY HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "KNOERL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "231-832-3277"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MI",
            "license": "670021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0F71000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Health Reed City Hospital Tustin Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.