Provider Demographics
NPI:1326375957
Name:STURGIS HOSPITAL INC
Entity Type:Organization
Organization Name:STURGIS HOSPITAL INC
Other - Org Name:HOSPICE OF STURGIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HOSPICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REEG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-651-2348
Mailing Address - Street 1:PO BOX 126
Mailing Address - Street 2:
Mailing Address - City:STURGIS
Mailing Address - State:MI
Mailing Address - Zip Code:49091-0126
Mailing Address - Country:US
Mailing Address - Phone:269-651-2348
Mailing Address - Fax:269-651-3891
Practice Address - Street 1:600 S LAKEVIEW AVE
Practice Address - Street 2:SUITE B01
Practice Address - City:STURGIS
Practice Address - State:MI
Practice Address - Zip Code:49091-2371
Practice Address - Country:US
Practice Address - Phone:269-651-2348
Practice Address - Fax:269-651-3891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-03
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI104000058251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI08768OtherBLUE CROSS BLUE SHIELD MICHIGAN
MI3142654Medicaid
MI231567Medicare Oscar/Certification