DECKERVILLE COMMUNITY HOSPITAL, INC. (NPI# 1780011247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780011247 |
| Entity Type | Organization |
| Organization Name | DECKERVILLE COMMUNITY HOSPITAL, INC. |
| Other Organization Name | DECKERVILLE HEALTHCARE SERVICES RHC |
| Practice Address |
2433 Black River St Deckerville MI 48427-9425 |
| Practice Telephone | 8103762885 |
| Mailing Telephone | 8103762885 |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2017-10-05 |
| Authorized Official Name | KIMBERLY GENTNER (CFO) |
| Authorized Official Telephone | 8103762835 |
| Is Organization Subpart | Y |
| Parent Organization Name | DECKERVILLE COMMUNITY HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Deckerville Healthcare Services RHC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710485792 | Deckerville Community Hospital, Inc. | Medicare Defined Swing Bed Unit | 3559 Pine St, Deckerville, MI 48427-7703 | 2018-01-25 |
| 1164818977 | Deckerville Community Hospital, Inc. | Orthopaedic Surgery | 3532 Main St, Deckerville, MI 48427-9615 | 2015-04-08 |
| 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 |
2433 BLACK RIVER ST |
| City | DECKERVILLE |
| State | MI |
| Zip Code | 48427-9425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780610956 | Lori M. Nugent | Physician Assistant | 2433 Black River St, Deckerville, MI 48427-9425 | 2006-06-22 |
| 1477946051 | Lindsey Bulgrien | Nurse Practitioner | 2433 Black River St, Deckerville, MI 48427-9425 | 2015-03-06 |
| 1720008626 | Bassam Ahmad Afaneh | Pediatrics | 2433 Black River St, Deckerville, MI 48427-9425 | 2006-07-20 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1033621263 | Caro Community Hospital | Clinic/Center | 345 N State St, Caro, MI 48723-1537 | 2017-10-27 |
| 1275050726 | Hills & Dales General Hospital, Inc. | Clinic/Center | 130 Millwood Street, Caro, MI 48723-1630 | 2017-08-25 |
| 1275932329 | Sturgis Hospital, Inc. | Clinic/Center | 111 S Saint Joseph St, Colon, MI 49040-9342 | 2014-08-14 |
| 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.