Sanford Medical Center P C

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SANFORD MEDICAL CENTER P C

Practice address

26 E Saginaw Rd
Unit 4
Sanford, MI 48657-9293

Phone

(989) 687-7812

Fax

(989) 687-7813

NPI assigned

Aug 20, 2006

Last updated

Apr 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hicham Churbaji, MDNPI 1629023924

Title

President

Phone

(989) 687-7812

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Hicham Churbaji, MD

  • Internal Medicine Physician
  • Gladwin, MI
  • NPI 1629023924
  Authorized official Same address or phone

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1396850418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 CHRISTY WAY",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032267",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E SAGINAW RD",
            "address_2": "UNIT 4",
            "city": "SANFORD",
            "state": "MI",
            "postal_code": "486579293",
            "telephone_number": "989-687-7812",
            "fax_number": "989-687-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD MEDICAL CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "CHURBAJI",
        "authorized_official_first_name": "HICHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-687-7812",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4618015",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4979886",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Partlo
• Pelvic Wellness LLC
• Tammy Phillips, MD
• Trenton Zane Reedy
• Sanford Chiropractic Center PC
• Elaina Molter Shadrach, MD
• Robert Thomas Smith, DC
• Srisai RX Mart LLC (sanford family pharmacy)
• Karen Stephenson
• Corey Tomsich

• Health Service Clinic/Center in Sanford, MI
• Providers in Sanford, MI by specialty
• Health Service Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.