Gladwin County Jail

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GLADWIN COUNTY JAIL

Practice address

501 W Cedar Ave
Gladwin, MI 48624-2064

Phone

(989) 426-7121

Fax

(989) 426-1173

NPI assigned

Sep 3, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Michael Shea

Title

Sheriff

Phone

(989) 426-9284

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1649604174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W CEDAR AVE",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242064",
            "telephone_number": "989-426-7121",
            "fax_number": "989-426-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W CEDAR AVE",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242064",
            "telephone_number": "989-426-7121",
            "fax_number": "989-426-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADWIN COUNTY JAIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SHERIFF",
        "authorized_official_telephone_number": "989-426-9284",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Frehling, LBSW
• Caitlin Marie Frost, BS
• Renee Christine Fuller, M.D.
• Isabel Leah Fults, CAADC-DP
• Andrew Joseph Giacona
• Gladwin Dental Care, P.C.
• Gladwin Family Care Center
• Gladwin Family Care Center P C
• Gladwin Family Care PLLC
• Gladwin Family Care PLLC

• General Practice Physician in Gladwin, MI
• Providers in Gladwin, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.