Mid-Michigan Recovery Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MID-MICHIGAN RECOVERY CENTER

Practice address

3821 N Grant Ave
Harrison, MI 48625-9606

Phone

(989) 418-1489

NPI assigned

Mar 12, 2019

Last updated

Mar 12, 2019By 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

Peggy Rauch

Title

Executive Administrator

Phone

(989) 418-1489

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1528526266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 N GRANT AVE",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486259606",
            "telephone_number": "989-418-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 N GRANT AVE",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486259606",
            "telephone_number": "989-418-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MICHIGAN RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "RAUCH",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "989-418-1489"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Lee Losey
• Maclean Pharmacy, Inc. (Mac Lean Pharmacy)
• Maureen M Gierucki DDS PLLC (Dr Maureen Gierucki)
• Stephen C McClintic, OD
• Mitchell L. McMillan, M.S.P.T.
• Midmichigan Health Services (Harrison School Based Health Center)
• Michael Gene Mikolaizyk, RPH
• Mariah K Moore
• Mymichigan Medical Center Clare (MyMichigan Family Medicine)
• Mymichigan Medical Center Clare

• Substance Abuse Rehabilitation Facility in Harrison, MI
• Providers in Harrison, MI by specialty
• Substance Abuse Rehabilitation Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.