Deckerville Community Hospital, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DECKERVILLE COMMUNITY HOSPITAL, INC.

Practice address

2030 Black River St
Deckerville, MI 48427-9440

Phone

(810) 376-2835

NPI assigned

Jan 16, 2025

Organization subpart

No

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

Authorized official

Name

Angela McConnachie

Title

Ceo

Phone

(989) 635-4000

Specialties & licenses 1

Addresses

Other names 1

• Deckerville Medical Office Building Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Deckerville Com Hosp ER5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Deckerville Community Hospital Inc

  • Critical Access Hospital
  • Deckerville, MI
  • NPI 1619095718
  NPD tax ID
• Deckerville Community Hospital, Inc

  • Clinic/Center
  • Port Sanilac, MI
  • NPI 1013799469
  NPD tax ID
• Deckerville Community Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Deckerville, MI
  • NPI 1710485792
  NPD tax ID
• Deckerville Community Hospital, Inc.

  • Rural Health Clinic/Center
  • Deckerville, MI
  • NPI 1780011247
  NPD tax ID

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1376354563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "DECKERVILLE",
            "state": "MI",
            "postal_code": "484270126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 BLACK RIVER ST",
            "city": "DECKERVILLE",
            "state": "MI",
            "postal_code": "484279440",
            "telephone_number": "810-376-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECKERVILLE COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "MCCONNACHIE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-635-4000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deckerville Medical Office Building",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith Davidson, NP-C
• Anthony Ayebakro Davies, MD
• Deckerville Community Hospital Inc
• Deckerville Community Hospital, Inc.
• Deckerville Community Hospital, Inc.
• Deckerville Community Hospital, Inc.
• Deckerville Community Hospital, Inc.
• Deckerville Nursing Center, LLC
• Pany Decossard, M.D.
• Carrie V Eugster, NP-C

• Family Medicine Physician in Deckerville, MI
• Providers in Deckerville, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.