NPIMap

Organization Active NPI

Mymichigan Medical Center Clare

  • Rural Health Clinic/Center
  • Farwell, MI
National Provider Identifier
1982933347
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MYMICHIGAN MEDICAL CENTER CLARE
Practice address
2812 W Cadillac Dr
Farwell, MI 48622-9757
Phone
(989) 588-5055
NPI assigned
Dec 15, 2009
Organization subpart
Yes
Parent organization
MYMICHIGAN MEDICAL CENTER CLAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Sarah James
Title
Manager, Provider Enrollment
Phone
(989) 701-4734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

2812 W Cadillac Dr
Farwell, MI 48622-9757

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956

Other identifiers 1

IdentifierTypeStateIssuer
23-8644OtherMIMEDIARE PTAN

Other names 1

  • MyMichigan Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040720000582 MI Part B Supplier - Clinic/Group Practice 7012829773 Receives reassigned benefits from 98 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clare, MI
O20100806000678 MI Part A Provider - Rural Health Clinic 7012829773 Practice locations: Farwell, MI

Rural health clinic certification: CCN 238644

Legal name
MYMICHIGAN MEDICAL CENTER CLARE
Doing business as
MYMICHIGAN FAMILY MEDICINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 11, 2012
Last certification
Nov 20, 2025
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
2812 W Cadillac Dr
Farwell, MI 48622-9757
Related CCNs
230180

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Part of
Sanjeev B Goyal MD

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sarah James Individual Corporate OfficerManager of Operations, Pe Jul 1, 2025
Samantha Hunter Individual W-2 Managing Employee Jan 1, 2022
Tina Church Individual Corporate Director Apr 1, 2021
W-2 Managing Employee Apr 1, 2021
Tricia Gorde Individual Corporate DirectorDirector, Provider Enrollment Jan 20, 2025
Charles Sherwin Individual Corporate DirectorPresident Mar 1, 2026

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1982933347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "844-832-1956",
            "fax_number": "989-633-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 W CADILLAC DR",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229757",
            "telephone_number": "989-588-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMICHIGAN MEDICAL CENTER CLARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MYMICHIGAN MEDICAL CENTER CLARE",
        "enumeration_date": "2009-12-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "989-701-4734"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIARE PTAN",
            "identifier": "23-8644",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyMichigan Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farwell, MI

Sources for this page

Verify at the official NPI Registry.