Provider Demographics
NPI:1497532642
Name:OGEMAW HILLS COMMUNITY OF CARING
Entity Type:Organization
Organization Name:OGEMAW HILLS COMMUNITY OF CARING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-345-7880
Mailing Address - Street 1:2106 S GRAY RD
Mailing Address - Street 2:
Mailing Address - City:WEST BRANCH
Mailing Address - State:MI
Mailing Address - Zip Code:48661-9606
Mailing Address - Country:US
Mailing Address - Phone:989-345-7880
Mailing Address - Fax:989-345-7882
Practice Address - Street 1:2106 S GRAY RD
Practice Address - Street 2:
Practice Address - City:WEST BRANCH
Practice Address - State:MI
Practice Address - Zip Code:48661-9606
Practice Address - Country:US
Practice Address - Phone:989-345-7880
Practice Address - Fax:989-345-7882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care