CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL, INC. (NPI# 1629260203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629260203 |
| Entity Type | Organization |
| Organization Name | CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL, INC. |
| Other Organization Name | WAR MEMORIAL BEHAVORIAL CENTER |
| Practice Address |
16523 S Water Tower Dr Kincheloe MI 49788-1592 |
| Practice Telephone | 9064954351 |
| Mailing Telephone | 9064954351 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2015-04-22 |
| Authorized Official Name | DAVID JAHN (CEO) |
| Authorized Official Telephone | 9066354460 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 170020 | MI | Hospital Units |
| Other Name | Type Code |
|---|---|
| War Memorial Behavorial Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881751386 | Chippewa County War Memorial Hospital, Inc. | Medicare Defined Swing Bed Unit | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | 2007-01-03 |
| 1346307931 | Chippewa County War Memorial Hospital, Inc. | Skilled Nursing Facility | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | 2007-01-02 |
| 1639190382 | Chippewa County War Memorial Hospital, Inc. | Emergency Medicine | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | 2006-07-21 |
| 1457305674 | Chippewa County War Memorial Hospital, Inc. | Anesthesiology | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | 2006-05-20 |
| Street Address |
16523 S WATER TOWER DR |
| City | KINCHELOE |
| State | MI |
| Zip Code | 49788-1592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851434419 | Chippewa County War Memorial Hospital Inc | Family Medicine | 16523 S Water Tower Dr, Kincheloe, MI 49788-1592 | 2007-02-14 |
| 1609252980 | Katie Peabody | Recreation Therapist | 16523 S Water Tower Dr, Kincheloe, MI 49788-1592 | 2015-08-10 |
| 1013397942 | Lorenell Tomkinson | Social Worker | 16523 S Water Tower Dr, Kincheloe, MI 49788-1592 | 2015-06-05 |
| 1306249610 | Rafael Parsons Aguirre | Social Worker | 16523 S Water Tower Dr, Kincheloe, MI 49788-1592 | 2014-09-30 |
| 1982010864 | Jonathan Sommers | Nurse Practitioner | 16523 S Water Tower Dr, Kincheloe, MI 49788-1592 | 2014-07-11 |
| 1760444673 | Catherine Jeanne Harris | Family Medicine | 16523 S Water Tower Dr, Kincheloe, MI 49788-1592 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164558524 | Thomas Christian Lehman | Dentist | 302 Watertower Drive, Kincheloe, MI 49788 | 2007-02-27 |
| 1760557391 | Kinross Charter Township | Ambulance | 4884 W. Curtis Street, Kincheloe, MI 49788 | 2006-11-21 |
| 1679718845 | Melba Jean Lofdahl | Foster Care Agency | 9 Kincheloe, Kincheloe, MI 49788-1220 | 2008-12-02 |
| 1174624134 | James E Adamo | Dentist | 16829 S Water Tower Dr, Unit 5, Kincheloe, MI 49788-1500 | 2006-09-25 |
| 1477605137 | Sault Tribe of Chippewa Indians | Clinic/Center | 16877 S Water Tower Dr, Kincheloe, MI 49788-1507 | 2007-01-16 |
| 1134367576 | Susan Wilson | Nurse Practitioner | 16700 S Water Tower Dr, Kincheloe, MI 49788-1637 | 2009-01-22 |
| 1932395613 | Sidney D Andrews | Dentist | 16770 S Water Tower Dr, Kinross Correctional Facility, Kincheloe, MI 49788-1637 | 2007-09-17 |
| 1699962191 | Eric John Hayhurst | Dentist | 16770 S Water Tower Dr, Kincheloe, MI 49788-1637 | 2007-09-28 |
| 1780871541 | William R Gillette Iv | Dentist | 16770 S Water Tower Dr, Kincheloe, MI 49788-1637 | 2007-09-26 |
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982983094 | Senior Psychiatric Hospitalists of Mi, Pllc | Psychiatric Unit | 3572 Empire State Dr, Canton, MI 48188-8202 | 2011-08-07 |
| 1841591260 | Growing Counseling Services, LLC | Psychiatric Unit | 446 Tobin Dr, 311, Inkster, MI 48141-3557 | 2010-11-17 |
| 1548426372 | Gloria Carr | Psychiatric Unit | 404 Velvet Ave, Portage, MI 49002-7050 | 2008-07-31 |
| 1356370522 | Advanced Counseling Services | Psychiatric Unit | 6223 N Canton Center Rd, Ste. 210, Canton, MI 48187-2696 | 2006-07-01 |
| 1669431292 | Edward W. Sparrow Hospital Association | Psychiatric Unit | 1210 W. Saginaw Street, Lansing, MI 48912-1999 | 2006-03-22 |
| 1831179837 | Mclaren Greater Lansing | Psychiatric Unit | 2727 S Penn Ave, Lansing, MI 48910-3488 | 2006-01-18 |
| 1003892092 | Ascension Providence Hospital | Psychiatric Unit | 16001 W. 9 Mile Road, Southfield, MI 48075-4818 | 2005-12-21 |
| 1265426704 | Healthsource Saginaw Inc | Psychiatric Unit | 3340 Hospital Rd, Saginaw, MI 48603-9622 | 2005-09-09 |
| 1407480247 | Prime Healthcare Services - Garden City, LLC | Psychiatric Unit | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2020-03-02 |
| 1255748307 | Henry Ford Health System | Psychiatric Unit | 1 Ford Pl, Detroit, MI 48202-3450 | 2014-07-21 |
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| 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.