Organization Active NPI

Emmet County Medical Care Facility

  • Skilled Nursing Facility
  • Harbor Springs, MI
National Provider Identifier
1902080963
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
248510 Issued in MI
Legal business name
EMMET COUNTY MEDICAL CARE FACILITY
Practice address
750 E Main St
Harbor Springs, MI 49740-1548
Phone
(231) 758-3163
Fax
(231) 526-5252
NPI assigned
Dec 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Sherry Becker
Title
Billing Coordinator
Phone
(231) 758-3163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 248510 MI Primary

Addresses

Primary practice location

750 E Main St
Harbor Springs, MI 49740-1548

Mailing address

750 E Main St
Harbor Springs, MI 49740-1548
Phone (231) 758-3163

Other identifiers 1

IdentifierTypeStateIssuer
2085080MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1902080963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E MAIN ST",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497401548",
            "telephone_number": "231-758-3163",
            "fax_number": "231-526-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E MAIN ST",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497401548",
            "telephone_number": "231-758-3163",
            "fax_number": "231-526-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMET COUNTY MEDICAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "231-758-3163"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "248510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085080",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor Springs, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.