Provider Demographics
NPI:1275723926
Name:SCHEURER HOSPITAL
Entity Type:Organization
Organization Name:SCHEURER HOSPITAL
Other - Org Name:SCHEURER HOSPITAL NP GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TERRANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LERASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-453-3223
Mailing Address - Street 1:108 N CASEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PIGEON
Mailing Address - State:MI
Mailing Address - Zip Code:48755-9704
Mailing Address - Country:US
Mailing Address - Phone:989-453-7301
Mailing Address - Fax:989-453-7306
Practice Address - Street 1:108 N CASEVILLE RD
Practice Address - Street 2:
Practice Address - City:PIGEON
Practice Address - State:MI
Practice Address - Zip Code:48755-9704
Practice Address - Country:US
Practice Address - Phone:989-453-7301
Practice Address - Fax:989-453-7306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0C21015OtherBLUE CROSS NP
0P09660Medicare Oscar/Certification