Eaton Rapids Medical Center
Organization Active NPI Anesthesiology Physician · Eaton Rapids, MI
NPI 1679623904 · NPPES record last updated Mar 2, 2022
Key facts
- NPI
- 1679623904
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- EATON RAPIDS MEDICAL CENTER
- Practice address
- 1500 S Main St
Eaton Rapids, MI 48827-1952 - Phone
- (517) 663-2671
- Fax
- (517) 663-2472
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Timothy J Johnson
- Title
- Chief Executive Officer
- Phone
- (517) 663-9474
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Eaton Rapids Medical Ce
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
1500 S Main St
Eaton Rapids, MI 48827-1952
Mailing address
1500 S Main St
Eaton Rapids, MI 48827-1952
Phone (517) 663-2671
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OM93480 | Other | MI | BCBS CRNA PIN |
Other names
- Eaton Rapids Community Hospital
Other providers in Eaton Rapids, MI
- Eaton Rapids Family Medicine PC
- Eaton Rapids Medical Center
- Eaton Rapids Medical Center
- Eaton Rapids Medical Center
- Eaton Rapids Medical Center
- Eaton Rapids Medical Center
- Eaton Rapids Medical Center
- Eaton Rapids Medical Center
- Kahley Emens
- Empower Therapy Solutions Inc
All providers in Eaton Rapids, MI · Anesthesiology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.