Provider Demographics
NPI:1346577988
Name:STURGIS HOSPITAL, INC.
Entity Type:Organization
Organization Name:STURGIS HOSPITAL, INC.
Other - Org Name:SMG PRACTICE MEDICAL COMMONS I
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:RANSBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-659-4403
Mailing Address - Street 1:916 MYRTLE ST
Mailing Address - Street 2:
Mailing Address - City:STURGIS
Mailing Address - State:MI
Mailing Address - Zip Code:49091-2326
Mailing Address - Country:US
Mailing Address - Phone:269-651-7824
Mailing Address - Fax:
Practice Address - Street 1:1717 E CHICAGO RD
Practice Address - Street 2:SUITE 2
Practice Address - City:STURGIS
Practice Address - State:MI
Practice Address - Zip Code:49091-8524
Practice Address - Country:US
Practice Address - Phone:269-651-1471
Practice Address - Fax:269-651-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI238591Medicare Oscar/Certification