Organization Active NPI

Reed City Hospital Corporation

  • Obstetrics & Gynecology Physician
  • Cadillac, MI
National Provider Identifier
1861409963
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
REED CITY HOSPITAL CORPORATION
Practice address
8795 Pine Ridge Dr Ste B
Cadillac, MI 49601-9777
Phone
(231) 779-8100
Fax
(231) 779-8199
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Mr. Kaufman Thomas
Title
President
Phone
(231) 832-7176

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary
Critical Access Hospital 282NC0060X LS051682 MI

Addresses

Primary practice location

8795 Pine Ridge Dr Ste B
Cadillac, MI 49601-9777

Mailing address

PO Box 75
Reed City, MI 49677-0075
Phone (231) 832-3271

Other names 1

  • Spectrum Health Reed City Campus Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040210000104 MI Part B Supplier - Clinic/Group Practice 6406740695 Receives reassigned benefits from 167 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Reed City, MI

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4499 220th Ave
Reed City, MI 49677
Phone (231) 832-5817

8354 100th Ave
Ste 1
Stanwood, MI 49346
Phone (231) 972-6000

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1861409963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496770075",
            "telephone_number": "231-832-3271",
            "fax_number": "231-832-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8795 PINE RIDGE DR STE B",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496019777",
            "telephone_number": "231-779-8100",
            "fax_number": "231-779-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REED CITY HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KAUFMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-832-7176",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MI",
            "license": "LS051682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Health Reed City Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.