NPIMap

Organization Active NPI

Mymichigan Medical Center Gladwin

  • Critical Access Hospital
  • Gladwin, MI
National Provider Identifier
1235248071
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
260011 Issued in MI
Legal business name
MYMICHIGAN MEDICAL CENTER GLADWIN
Practice address
515 Quarter St
Gladwin, MI 48624-1959
Phone
(989) 426-9286
NPI assigned
Aug 29, 2006
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Sarah James
Title
Manager, Provider Enrollment
Phone
(989) 701-4734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 260011 MI Primary

Addresses

Primary practice location

515 Quarter St
Gladwin, MI 48624-1959

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
5170676MedicaidMI
00128OtherMIBCBSM
1557883MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071121000592 MI Part A Provider - Critical Access Hospital 0143262915 Receives reassigned benefits from 26 practitioners
Practice locations: Beaverton, MI; Gladwin, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235248071. Details of each certification follow.

Hospital certification: CCN 231325

Legal name
MYMICHIGAN MEDICAL CENTER GLADWIN
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2005
Last certification
Jan 25, 2018
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
515 Quarter St
Gladwin, MI 48624-1959
Other Hospital Practice Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Mymichigan Medical Center GladwinCCN 231325 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Midmichigan Med Ctr Gladwin14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Kevin Elliott Individual Corporate DirectorBoard Member Jan 1, 2022
Jolene L Compton Individual Contracted Managing EmployeeBoard Member Jan 13, 2015
Sarah James Individual Corporate OfficerManager of Operations, Pe Jul 1, 2025
Raymond H Stover Individual Corporate OfficerPresident Ceo Jan 13, 2015
Thomas Kish Individual Corporate DirectorBoard Member Jan 1, 2022
Elizabeth Daniels Individual Corporate DirectorBoard Member Jan 1, 2022
Glenn H Smith Individual Contracted Managing EmployeeBoard Member Jan 13, 2015
Samantha Hunter Individual W-2 Managing Employee Jan 1, 2022
Jeffrey B Fossitt Individual Corporate DirectorBoard Member Jan 1, 2022
Trudy Shira Individual Corporate DirectorDirector-Patient Financial Jan 1, 2013
W-2 Managing EmployeeDirector-Patient Financial Jan 13, 2015
Paul F Bucchi Individual Corporate DirectorBoard Member Jan 1, 2022
Tina Church Individual Corporate Director Jan 1, 2022
W-2 Managing Employee Jan 1, 2022
Mymichigan Health Organization, Midland, MI Non-profit Operational/Managerial Control Jul 1, 2014
John W Duff Individual Corporate DirectorBoard Member Jan 1, 2022
Gregory H Rogers Individual Corporate DirectorBoard Member Jan 1, 2022
John D. Stoneback Individual Corporate DirectorBoard Member Jan 1, 2022
Tricia Gorde Individual Corporate DirectorDirector of Operations, Pe Aug 1, 2024
Alan Bruder Individual Corporate DirectorBoard Member Jan 1, 2022

Owners & managing parties with NPI records 2

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

Facilities with the same owner 30

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

View all 30

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

Affiliated clinicians 305

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

View all 305

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1235248071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "844-832-1956",
            "fax_number": "989-633-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 QUARTER ST",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241959",
            "telephone_number": "989-426-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMICHIGAN MEDICAL CENTER GLADWIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "989-701-4734"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MI",
            "license": "260011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5170676",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "00128",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1557883",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladwin, MI

Sources for this page

Verify at the official NPI Registry.