| Midmichigan Health Services | |
|
9249 W Lake City Rd Houghton Lake MI 48629-9602 | |
| (989) 422-5122 | |
| (989) 422-6838 |
| Full Name | Midmichigan Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 9249 W Lake City Rd, Houghton Lake, Michigan |
| Authorized Official Name and Position | James P. Raschke (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9894225122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midmichigan Health Services 9249 W Lake City Rd Houghton Lake MI 48629-9602 Ph: (989) 422-5122 | Midmichigan Health Services 9249 W Lake City Rd Houghton Lake MI 48629-9602 Ph: (989) 422-5122 |
| NPI Number | 1912998287 |
|---|---|
| Provider Enumeration Date | 11/04/2005 |
| Last Update Date | 04/22/2015 |
| Medicare PECOS PAC ID | 7911800495 |
|---|---|
| Medicare Enrollment ID | O20040130001007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912998287 | NPI | - | NPPES |
| 18009 | Other | MI | BCBSM FACILITY CODE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4301068191 (Michigan) | Primary |
| Provider Name | Roberto A Viguilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013992536 PECOS PAC ID: 1658388541 Enrollment ID: I20060317000382 |
| Provider Name | Kevin T Denlinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487638300 PECOS PAC ID: 2466457841 Enrollment ID: I20060918000253 |
| Provider Name | Stacey R Gedeon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336172485 PECOS PAC ID: 8820162878 Enrollment ID: I20080808000437 |
| Provider Name | Lisa A Harrington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588651269 PECOS PAC ID: 3375530082 Enrollment ID: I20100220000251 |
| Provider Name | Hayley M Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942519525 PECOS PAC ID: 4183806292 Enrollment ID: I20110310000864 |
| Provider Name | Lindsey Derousse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154728889 PECOS PAC ID: 0143548867 Enrollment ID: I20150409000867 |
| Provider Name | Robert Patrick Mcmorrow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093027013 PECOS PAC ID: 6608000708 Enrollment ID: I20150629002584 |
| Provider Name | Deborah L Maurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629432703 PECOS PAC ID: 4183913338 Enrollment ID: I20160511002630 |
| Provider Name | Stacey A Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548528086 PECOS PAC ID: 1951541978 Enrollment ID: I20161024000254 |
| Provider Name | Charity A Caverly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396289492 PECOS PAC ID: 4789965922 Enrollment ID: I20170103000302 |
| Provider Name | April M North |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467498808 PECOS PAC ID: 4789695594 Enrollment ID: I20171019001163 |
| Provider Name | Mistey Rayl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992202873 PECOS PAC ID: 8022364744 Enrollment ID: I20180710002435 |
| Provider Name | Lyndsy J Mcmorrow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023338316 PECOS PAC ID: 1951541366 Enrollment ID: I20190927002307 |
| Provider Name | Lori A Tetu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639710890 PECOS PAC ID: 3779910328 Enrollment ID: I20200221000064 |
| Provider Name | Erin R Booms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518599307 PECOS PAC ID: 7214367259 Enrollment ID: I20200415001837 |
| Provider Name | Abby Wells Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366077737 PECOS PAC ID: 0042641821 Enrollment ID: I20200511003229 |
| Provider Name | Cara L Crawford-bartle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982139382 PECOS PAC ID: 4082966486 Enrollment ID: I20200811003320 |
| Provider Name | Danielle R Mcauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548832124 PECOS PAC ID: 7810395514 Enrollment ID: I20211011002312 |
| Provider Name | Allison M Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215689468 PECOS PAC ID: 5092100099 Enrollment ID: I20220309001243 |
| Provider Name | Heidi L Sura |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801490727 PECOS PAC ID: 4688026552 Enrollment ID: I20240116002847 |
| Provider Name | Hannah E Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164281937 PECOS PAC ID: 4880136514 Enrollment ID: I20240610000129 |
| Provider Name | Trevin J Tharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902645419 PECOS PAC ID: 9335686500 Enrollment ID: I20240806000861 |
| Provider Name | Libby P Tharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942040217 PECOS PAC ID: 2163961913 Enrollment ID: I20240826001496 |
| Provider Name | Wesley Michael Clark Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467078576 PECOS PAC ID: 5698197390 Enrollment ID: I20241014000841 |
| Provider Name | Amy R Brockschmidt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023453040 PECOS PAC ID: 5597299404 Enrollment ID: I20241114003972 |
| Provider Name | Hannah Leahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427890052 PECOS PAC ID: 4385170901 Enrollment ID: I20241205004250 |
Midmichigan Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4433 W Houghton Lake Dr, Houghton Lake, MI 48629 Phone: 989-366-2003 Fax: 989-422-4378 |