Organization Active NPI

Mymichigan Medical Center Sault

  • Rural Health Clinic/Center
  • Drummond Island, MI
National Provider Identifier
1578073318
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MYMICHIGAN MEDICAL CENTER SAULT
Practice address
33896 S Townline Rd
Drummond Island, MI 49726
Phone
(906) 493-5221
NPI assigned
Oct 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Sarah James
Title
Manager, Provider Enrollment
Phone
(989) 701-4734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

33896 S Townline Rd
Drummond Island, MI 49726

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956

Other names 1

  • MyMichigan Primary Care Drummond Island Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180426002075 MI Part A Provider - Rural Health Clinic 7315936481 Practice locations: Drummond Island, MI

Rural health clinic certification: CCN 238767

Legal name
MYMICHIGAN MEDICAL CENTER SAULT
Doing business as
MYMICHIGAN PRIMARY CARE DRUMMOND
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 30, 2021
Last certification
Dec 30, 2021
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
33896 S Townline Rd
Drummond Island, MI 49726-9742
Related CCNs
230239

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0381636Mymichigan Primary Care - Drummond Island33896 S Townline Road, Drummond Island, MI 49726Certificate of waiverJul 17, 2028

National Provider Directory

National Provider Directory
Tax ID family
Chippewa Cnty War Memorial32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sarah James Individual Corporate OfficerManager, Provider Enrollment Jul 1, 2025
Samantha Hunter Individual W-2 Managing Employee Feb 19, 2025
Amanda Peirce Individual Corporate DirectorManager Patient Accounts Nov 21, 2023
Tina Church Individual Corporate DirectorDirector Nov 21, 2023
Mymichigan Health Organization, Midland, MI Chain home office Operational/Managerial Control Aug 24, 2023 100%
Mymichigan Medical Center Sault Organization, Midland, MI Corporation Operational/Managerial Control Aug 24, 2023 100%
Tricia Gorde Individual Corporate DirectorDirector, Provider Enrollment Jan 20, 2025

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 30

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 30

Practitioners & affiliated clinicians

Practitioners 101

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

View all 101

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1578073318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "844-832-1956",
            "fax_number": "989-633-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33896 S TOWNLINE RD",
            "city": "DRUMMOND ISLAND",
            "state": "MI",
            "postal_code": "49726",
            "telephone_number": "906-493-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMICHIGAN MEDICAL CENTER SAULT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "989-701-4734"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyMichigan Primary Care Drummond Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Drummond Island, MI

Sources for this page

Verify at the official NPI Registry.