DECKERVILLE COMMUNITY HOSPITAL, INC (NPI# 1619095718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619095718 |
| Entity Type | Organization |
| Organization Name | DECKERVILLE COMMUNITY HOSPITAL, INC |
| Practice Address |
3559 Pine Street Deckerville MI 48427 |
| Practice Telephone | 8103762835 |
| Practice Fax Number | 8103769412 |
| Mailing Telephone | 8103762835 |
| Mailing Fax Number | 8103769412 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2017-10-05 |
| Authorized Official Name | KIMBERLY GENTNER (CFO) |
| Authorized Official Telephone | 8103762835 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
760010 | MI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1557570 | 05 | |
| MI | BCBSM | 201 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DECKERVILLE COMMUNITY HOSPITAL, INC. | 3559 Pine St, Deckerville, MI 48427-7703 |
| Street Address |
3559 PINE STREET |
| City | DECKERVILLE |
| State | MI |
| Zip Code | 48427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376579466 | William George Mcnish | Nurse Anesthetist, Certified Registered | 3559 Pine Street, Deckerville, MI 48427 | 2006-06-23 |
| 1164540555 | Deckerville Community Hospital, Inc. | Emergency Medicine | 3559 Pine Street, Deckerville, MI 48427 | 2007-03-26 |
| 1376626127 | Pany Decossard | Internal Medicine | 3559 Pine Street, Deckerville, MI 48427-0126 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447444591 | Jennifer Ann Lindsey | Social Worker | 6637 Highland Road, Waterford, MI 48427 | 2007-08-31 |
| 1306067400 | Thomas I Hazelton | Dentist | 2382 Black River St, Deckerville, MI 48427 | 2007-05-02 |
| 1588715221 | David Alan Nisbett | Chiropractor | 2515 Maple St., Deckerville, MI 48427 | 2007-01-16 |
| 1902980568 | Dora Lynn Merriman | Registered Nurse | 212 E Sanilac Avenue, Sandusky, MI 48427 | 2006-10-24 |
| 1285714626 | Harold Don Trend | Social Worker | 3474 Palm Street, Deckerville, MI 48427 | 2006-10-17 |
| 1841368362 | Joan Ballentine | Pharmacist | 3482 Main, Deckerville, MI 48427-0067 | 2006-12-01 |
| 1003984527 | Rick Ballentine | Pharmacist | 3482 Main Street, Deckerville, MI 48427-0067 | 2006-12-01 |
| 1710485792 | Deckerville Community Hospital, Inc. | Medicare Defined Swing Bed Unit | 3559 Pine St, Deckerville, MI 48427-7703 | 2018-01-25 |
| 1508299207 | For The Family Counseling Service Pllc | Social Worker | 3466 Main St, Suite 1, Deckerville, MI 48427-7709 | 2013-08-16 |
| 1164901971 | Nicole Miller | Occupational Therapist | 3387 Ella St, Deckerville, MI 48427-7720 | 2018-08-13 |
| Find all providers in zip 48427 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982154365 | Detroit Medical Center | General Acute Care Hospital | 4713 Pond Run, Canton, MI 48188-2196 | 2016-10-10 |
| 1598147803 | St Joseph Mercy Oakland | General Acute Care Hospital | 874 Golf Dr Apt 101, Pontiac, MI 48341-2394 | 2015-06-23 |
| 1821415811 | Harbor Beach Community Hospital Inc | General Acute Care Hospital | 204 S Huron Ave, Harbor Beach, MI 48441 | 2014-03-27 |
| 1346590882 | Aspirus Ontonagon Hospital, Inc | General Acute Care Hospital | 601 S Seventh St, Ontonagon, MI 49953-1448 | 2012-09-12 |
| 1831454222 | Botsford Hospital | General Acute Care Hospital | 28050 Grand River Ave., Farmington Hills, MI 48336-5919 | 2012-07-11 |
| 1255611497 | Henryford Health System | General Acute Care Hospital | 34824 Birchgrove Dr, H, Sterling Heights, MI 48312-4744 | 2011-08-19 |
| 1992919336 | Francine Greenfield D.d.s., F.a.g.d.corp. | General Acute Care Hospital | 800 W Long Lake Rd, Suite #145, Bloomfield Hills, MI 48302-2056 | 2007-05-09 |
| 1770615668 | Pontiac Osteopathic Hospital | General Acute Care Hospital | 50 N Perry St., Pontiac, MI 48342-2253 | 2007-03-09 |
| 1275695850 | John Dingell Medical Center | General Acute Care Hospital | 14153 Warwick St, Detroit, MI 48223-2950 | 2006-12-14 |
| 1497820526 | Emergency Care Specialists PC | General Acute Care Hospital | 4100 Embassy Dr Se Ste 201, Grand Rapids, MI 49546-2416 | 2006-11-22 |
| Find all providers with the same taxonomy | ||||
| City | DECKERVILLE |
| Zip Code | 48427 |
Please comment or provide details below to improve the information on DECKERVILLE COMMUNITY HOSPITAL, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.