NPIMap

Organization Active NPI

Tri City Medical Center

  • Primary Care Clinic/Center
  • Watervliet, MI
National Provider Identifier
1861645152
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TRI CITY MEDICAL CENTER
Practice address
400 Medical Park Dr
Watervliet, MI 49098-9225
Phone
(269) 463-2449
NPI assigned
Oct 30, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Tim J Calhoun
Title
VP Finance/Cfo
Phone
(269) 983-8300

Corporate family (same tax ID) 11

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

National Provider Directory

National Provider Directory
Tax ID family
Boothby John Fcrna (12 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MI Primary

Addresses

NPPES NPI Registry

Primary practice location

400 Medical Park Dr
Watervliet, MI 49098-9225

Mailing address

6633 Red Arrow Hwy
Coloma, MI 49038-8717
Phone (269) 463-8768

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2018.

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1861645152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 RED ARROW HWY",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490388717",
            "telephone_number": "269-463-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PARK DR",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490989225",
            "telephone_number": "269-463-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP FINANCE/CFO",
        "authorized_official_telephone_number": "269-983-8300"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watervliet, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.