Madison Community Hospital Inc.

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

MADISON COMMUNITY HOSPITAL INC.

Practice address

960 River Centre Dr
Port Huron, MI 48060-4463

Phone

(810) 966-8523

Fax

(810) 966-5056

NPI assigned

Jul 13, 2005

Organization subpart

Yes

Parent organization

MADISON COMMUNITY HOSPITAL INC.As reported in NPPES

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

Authorized official

Name

Ram Gunabalan, M.D.

Title

President

Phone

(248) 583-8922

Specialties & licenses 1

Addresses

Other names 1

• Biomagnetic Imaging Center Doing business as

Part of

Madison Community Hospital

Practitioners 1

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

• Eugene W Brown, M.D.

  • Neuroradiology Physician
  • Chicago, IL
  • NPI 1346242088
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1447258454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30781 STEPHENSON HWY",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711618",
            "telephone_number": "248-583-8922",
            "fax_number": "248-583-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 RIVER CENTRE DR",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604463",
            "telephone_number": "810-966-8523",
            "fax_number": "810-966-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COMMUNITY HOSPITAL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADISON COMMUNITY HOSPITAL INC.",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "GUNABALAN",
        "authorized_official_first_name": "RAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-583-8922",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Biomagnetic Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Macdonald, RN
• Rose Macdonald, LLPC
• Lisa Mae Mackaluso, APRN, FNP-C
• Jenna Mackey, PA-C
• Kimia Maddahi, MD
• Beth Marie Maes, PHARM.D.
• Kaitlyn Marie Mahaffy
• Beverly Maiers, PT
• Laura Kathleen Maiorana, PA-C
• Katie Maison

• Magnetic Resonance Imaging (MRI) Clinic/Center in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.