Active NPI
Midmichigan Stratford Village
- Skilled Nursing Facility
- Midland, MI
National Provider Identifier
1487767026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1070000265
- Legal business name
- MIDMICHIGAN STRATFORD VILLAGE
- Practice address
- 2121 Rockwell Drive
Midland, MI 48642-9316 - Phone
- (989) 633-5350
- NPI assigned
- Aug 17, 2006
- Organization subpart
- Yes
- Parent organization
- MIDMICHIGAN HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jan Wrzesinski
- Title
- Patient Accounting Manager
- Phone
- (989) 633-1486
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 564011 | MI | |
| Skilled Nursing Facility | 314000000X | 1070000265 | MI | Primary |
Addresses
Primary practice location
2121 Rockwell Drive
Midland, MI 48642-9316
Mailing address
2121 Rockwell Drive
Midland, MI 48642-9316
Phone (989) 633-5350
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09693 | Other | MI | BCBSM |
| 1766453 | Medicaid | MI |
National Provider Directory
National Provider Directory- Part of
- Mymichigan Health
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Physical Therapy Clinic/Center
- Midland, MI
- NPI 1750883153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377475200000",
"number": "1487767026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 ROCKWELL DRIVE",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486429316",
"telephone_number": "989-633-5350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 ROCKWELL DRIVE",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486429316",
"telephone_number": "989-633-5350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDMICHIGAN STRATFORD VILLAGE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIDMICHIGAN HEALTH",
"enumeration_date": "2006-08-17",
"last_updated": "2013-08-26",
"status": "A",
"authorized_official_last_name": "WRZESINSKI",
"authorized_official_first_name": "JAN",
"authorized_official_title_or_position": "PATIENT ACCOUNTING MANAGER",
"authorized_official_telephone_number": "989-633-1486"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "564011",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "1070000265",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "09693",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1766453",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
- Midmichigan Home Health Services (MidMichigan Visiting Nurse Support Services)
- Midmichigan Home Health Services (MidMichigan Visiting Nurse Private Duty)
- Midmichigan Home Health Services (MidMichigan Visiting Nurse Support Services- Looking Glass Shoppe)
- Midmichigan Obstetrics and Gynecology P C
- Midmichigan Regional Imaging
- Midmichigan Urgent Care
- Midmichigan Urgent Care Freeland
- Midmichigan Urgent Care Midland
- Midmichigan Urgent Care Midland
- Midmichigan Visiting Nurse (MidMichigan Home Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.