DECKERVILLE COMMUNITY HOSPITAL, INC. (NPI# 1710485792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710485792 |
| Entity Type | Organization |
| Organization Name | DECKERVILLE COMMUNITY HOSPITAL, INC. |
| Practice Address |
3559 Pine St Deckerville MI 48427-7703 |
| Practice Telephone | 8103762835 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |
| Authorized Official Name | KIMBERLY GENTNER (CFO) |
| Authorized Official Telephone | 8103767024 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | MI | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164818977 | Deckerville Community Hospital, Inc. | Orthopaedic Surgery | 3532 Main St, Deckerville, MI 48427-9615 | 2015-04-08 |
| 1780011247 | Deckerville Community Hospital, Inc. | Clinic/Center | 2433 Black River St, Deckerville, MI 48427-9425 | 2013-09-30 |
| 1164540555 | Deckerville Community Hospital, Inc. | Emergency Medicine | 3559 Pine Street, Deckerville, MI 48427 | 2007-03-26 |
| 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 ST |
| City | DECKERVILLE |
| State | MI |
| Zip Code | 48427-7703 |
| 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 |
| 1376579466 | William George Mcnish | Nurse Anesthetist, Certified Registered | 3559 Pine Street, Deckerville, MI 48427 | 2006-06-23 |
| 1619095718 | Deckerville Community Hospital, Inc | General Acute Care Hospital | 3559 Pine Street, Deckerville, MI 48427 | 2007-03-27 |
| 1164540555 | Deckerville Community Hospital, Inc. | Emergency Medicine | 3559 Pine Street, Deckerville, MI 48427 | 2007-03-26 |
| 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 |
| Find all providers in zip 48427 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154372027 | Bell Memorial Hospital | Medicare Defined Swing Bed Unit | 901 Lakeshore Drive, Ishpeming, MI 49849-1367 | 2006-05-15 |
| 1699376806 | Huron Memorial Hospital | Medicare Defined Swing Bed Unit | 1100 S Van Dyke Rd, Bad Axe, MI 48413-9615 | 2020-11-04 |
| 1609366483 | Bellin Health Iron Mountain | Medicare Defined Swing Bed Unit | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2018-05-16 |
| 1750894648 | Munising Memorial Hospital Association | Medicare Defined Swing Bed Unit | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2017-11-14 |
| 1205236973 | David Harley Mccallum | Medicare Defined Swing Bed Unit | 14700 King Rd Ste A, Riverview, MI 48193-7909 | 2014-08-29 |
| 1821425612 | Portage Hospital LLC | Medicare Defined Swing Bed Unit | 500 Campus Dr, Hancock, MI 49930-1569 | 2013-10-11 |
| 1760819858 | Acquisition Bell Hospital LLC | Medicare Defined Swing Bed Unit | 901 Lakeshore Dr, Ishpeming, MI 49849-1367 | 2013-10-03 |
| 1952666141 | Sinai-grace Hosptial,wayne State University/detroit Medical Cente | Medicare Defined Swing Bed Unit | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2012-07-12 |
| 1730451915 | Three Rivers Health System, Inc | Medicare Defined Swing Bed Unit | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2012-02-02 |
| 1467761502 | Aspirus Grand View | Medicare Defined Swing Bed Unit | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2010-10-06 |
| Find all providers with the same taxonomy | ||||
| City | DECKERVILLE |
| Zip Code | 48427 |
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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.