| Harbor Beach Community Hospital Inc | |
|
210 S 1st St Harbor Beach MI 48441-1236 | |
| (989) 479-3201 | |
| (989) 479-5000 |
| Full Name | Harbor Beach Community Hospital Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 210 S 1st St, Harbor Beach, Michigan |
| Authorized Official Name and Position | Jill Wehner (VP/COO) |
| Authorized Official Contact | 9894793201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Beach Community Hospital Inc 210 S 1st St Harbor Beach MI 48441-1236 Ph: (989) 479-3201 | Harbor Beach Community Hospital Inc 210 S 1st St Harbor Beach MI 48441-1236 Ph: (989) 479-3201 |
| NPI Number | 1619059458 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 03/24/2020 |
| Medicare PECOS PAC ID | 7214903483 |
|---|---|
| Medicare Enrollment ID | O20040908001458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619059458 | NPI | - | NPPES |
| 104643573 | Medicaid | MI | |
| 114638537 | Medicaid | MI | |
| 104684941 | Medicaid | MI | |
| 104700007 | Medicaid | MI |
| Provider Name | John L Loomis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518014018 PECOS PAC ID: 0840199550 Enrollment ID: I20031231000733 |
| Provider Name | Eugene S Olsowka |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407943871 PECOS PAC ID: 8729073465 Enrollment ID: I20040420000818 |
| Provider Name | Ramez Abdalla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629023254 PECOS PAC ID: 6406825892 Enrollment ID: I20041001000575 |
| Provider Name | Branislav D Behan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609962778 PECOS PAC ID: 8224091103 Enrollment ID: I20041116000019 |
| Provider Name | Jyothi Pappula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104827518 PECOS PAC ID: 6002874591 Enrollment ID: I20041230000243 |
| Provider Name | Philip Kilanowski Doroh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033192059 PECOS PAC ID: 5092759472 Enrollment ID: I20050616000329 |
| Provider Name | Christopher E Herald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548221021 PECOS PAC ID: 4587691662 Enrollment ID: I20050720000550 |
| Provider Name | Craig P Adams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982647384 PECOS PAC ID: 1456381086 Enrollment ID: I20050815000124 |
| Provider Name | Lawrence W Schenden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609853605 PECOS PAC ID: 3779540869 Enrollment ID: I20051108000590 |
| Provider Name | Christine Perry Ockerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598792814 PECOS PAC ID: 2466471800 Enrollment ID: I20051115001000 |
| Provider Name | Albert James Rocchini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861444234 PECOS PAC ID: 8628081783 Enrollment ID: I20060714000015 |
| Provider Name | Rashid Alsabeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093788150 PECOS PAC ID: 9032122338 Enrollment ID: I20060802000354 |
| Provider Name | Joshua M White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083729933 PECOS PAC ID: 1557368222 Enrollment ID: I20061023000562 |
| Provider Name | Ricardo G Joseph |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750342135 PECOS PAC ID: 7911907902 Enrollment ID: I20061221000280 |
| Provider Name | Moutaz Haiba |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265530687 PECOS PAC ID: 1658371679 Enrollment ID: I20061221000452 |
| Provider Name | Sam Abdul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932187713 PECOS PAC ID: 6305853722 Enrollment ID: I20070419000563 |
| Provider Name | Ali A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598870503 PECOS PAC ID: 4385535087 Enrollment ID: I20070606000237 |
| Provider Name | Erich C Kickland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194827105 PECOS PAC ID: 1850485830 Enrollment ID: I20070921000056 |
| Provider Name | David E Newcomb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326158072 PECOS PAC ID: 6608961487 Enrollment ID: I20071009000535 |
| Provider Name | Stephen D Chabala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265525281 PECOS PAC ID: 4688743610 Enrollment ID: I20080516000588 |
| Provider Name | Jaime L Hope |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790990893 PECOS PAC ID: 1456427400 Enrollment ID: I20080827000731 |
| Provider Name | Aaron J Goldfarb |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417100306 PECOS PAC ID: 5193889970 Enrollment ID: I20090122000351 |
| Provider Name | David Donaldson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023077591 PECOS PAC ID: 7113082819 Enrollment ID: I20090212000370 |
| Provider Name | Deborah B Wagenaar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255315628 PECOS PAC ID: 5496811994 Enrollment ID: I20090309000333 |
| Provider Name | Brent M Felton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609081363 PECOS PAC ID: 5395897458 Enrollment ID: I20090721000238 |
| Provider Name | Zhiqin Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265636864 PECOS PAC ID: 1052450491 Enrollment ID: I20091125000095 |
| Provider Name | Christopher H Hutchinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730149576 PECOS PAC ID: 8022150754 Enrollment ID: I20100119000514 |
| Provider Name | Stanley B Beckman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750431722 PECOS PAC ID: 8022906734 Enrollment ID: I20100624000344 |
| Provider Name | Dennis W Spender |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487755971 PECOS PAC ID: 8729112503 Enrollment ID: I20100817000014 |
| Provider Name | Scott P Shisler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477551000 PECOS PAC ID: 5799711560 Enrollment ID: I20101028000875 |
| Provider Name | Bophal Hang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821204389 PECOS PAC ID: 4385833706 Enrollment ID: I20110114000807 |
| Provider Name | Mustafa M Hamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366600280 PECOS PAC ID: 2062699333 Enrollment ID: I20110614000586 |
| Provider Name | Vithal Bhimrao Shendge |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649502121 PECOS PAC ID: 6406025006 Enrollment ID: I20110817000235 |
| Provider Name | Ashley R Wooters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821202045 PECOS PAC ID: 7810048147 Enrollment ID: I20140218000226 |
| Provider Name | Shane R Starr |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730372913 PECOS PAC ID: 4183808397 Enrollment ID: I20140724000792 |
| Provider Name | Shaun C Ramsey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245594910 PECOS PAC ID: 4880917897 Enrollment ID: I20141224001096 |
| Provider Name | Antwan L Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912260514 PECOS PAC ID: 4587896071 Enrollment ID: I20150102001267 |
| Provider Name | Gregory Glatz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235223181 PECOS PAC ID: 4082939632 Enrollment ID: I20150203000499 |
| Provider Name | Manal M Schoellerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821060724 PECOS PAC ID: 6608773361 Enrollment ID: I20150406001199 |
| Provider Name | Justin Ly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770560542 PECOS PAC ID: 2264467190 Enrollment ID: I20150409001705 |
| Provider Name | Sanjeevi Vridhachalam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598754459 PECOS PAC ID: 3274573480 Enrollment ID: I20150415002033 |
| Provider Name | Jonathan Coll |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679803977 PECOS PAC ID: 3779776539 Enrollment ID: I20150420000185 |
| Provider Name | Max Pollock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427210855 PECOS PAC ID: 5294057303 Enrollment ID: I20150424001813 |
| Provider Name | Katharine Yoler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508830225 PECOS PAC ID: 1759365646 Enrollment ID: I20150427001448 |
| Provider Name | Marwah Helmy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841276730 PECOS PAC ID: 0446302079 Enrollment ID: I20150428000970 |
| Provider Name | Jorge A Mendoza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811152341 PECOS PAC ID: 6406004803 Enrollment ID: I20150428001787 |
| Provider Name | Farhad Khorashadi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750347316 PECOS PAC ID: 2668441882 Enrollment ID: I20150428002140 |
| Provider Name | Avanee S Peel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164591616 PECOS PAC ID: 3173554441 Enrollment ID: I20150519002056 |
| Provider Name | Ryan A Frederiksen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922260033 PECOS PAC ID: 0446431753 Enrollment ID: I20150724010092 |
| Provider Name | Jill Furubayashi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457587073 PECOS PAC ID: 7517186224 Enrollment ID: I20150826001722 |
| Provider Name | Jason Shou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245479054 PECOS PAC ID: 9638361272 Enrollment ID: I20150917000336 |
| Provider Name | Danielle Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679942338 PECOS PAC ID: 6507174604 Enrollment ID: I20151008001807 |
| Provider Name | Shannon L Nowiski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518337799 PECOS PAC ID: 5597074062 Enrollment ID: I20151023000522 |
| Provider Name | Dan Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750644977 PECOS PAC ID: 1456582329 Enrollment ID: I20151125000930 |
| Provider Name | Fadi T Kasyouhanan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487094181 PECOS PAC ID: 5991936304 Enrollment ID: I20160620000524 |
| Provider Name | David L Stockman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407086424 PECOS PAC ID: 0446477723 Enrollment ID: I20170109000332 |
| Provider Name | David J Hobbs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174886279 PECOS PAC ID: 3971731019 Enrollment ID: I20170714001454 |
| Provider Name | Nicklaus M Bradley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942640636 PECOS PAC ID: 6002046109 Enrollment ID: I20170731002819 |
| Provider Name | Shilpin A Mehta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871856948 PECOS PAC ID: 2668761727 Enrollment ID: I20170821002140 |
| Provider Name | Amanda L Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285143016 PECOS PAC ID: 4486920329 Enrollment ID: I20171020002746 |
| Provider Name | Omar Elhaj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821103904 PECOS PAC ID: 0648289744 Enrollment ID: I20180410002621 |
| Provider Name | Amanda M Mcsweeney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124073705 PECOS PAC ID: 5496769978 Enrollment ID: I20190824000645 |
| Provider Name | Jorel O Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336553684 PECOS PAC ID: 7618271131 Enrollment ID: I20191203002113 |
| Provider Name | Laura R Parks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396234829 PECOS PAC ID: 1850656059 Enrollment ID: I20201218001808 |
| Provider Name | Majd Jundi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306430665 PECOS PAC ID: 2961804620 Enrollment ID: I20210719000201 |
| Provider Name | Jamie L Siemen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598029126 PECOS PAC ID: 2668877978 Enrollment ID: I20210825001858 |
| Provider Name | Edward A Blanzy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740332600 PECOS PAC ID: 3476948308 Enrollment ID: I20220311000813 |
| Provider Name | Zarrish Saeed Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194925032 PECOS PAC ID: 0042435562 Enrollment ID: I20221103002828 |
Jaime F Tan Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2235 S Lakeshore Rd, Harbor Beach, MI 48441 Phone: 989-479-2143 | |
Jaime F Tan Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 State St, Harbor Beach, MI 48441 Phone: 989-479-3111 | |
Candelaria Castaneda, Md, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 729 Trescott St, Harbor Beach, MI 48441 Phone: 989-479-3116 Fax: 989-479-3860 |