Provider Demographics
NPI:1730280025
Name:REED CITY HOSPITAL CORPORATION
Entity Type:Organization
Organization Name:REED CITY HOSPITAL CORPORATION
Other - Org Name:COREWELL HEALTH REED CITY HOSPITAL FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:KNUTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-349-1616
Mailing Address - Street 1:300 N PATTERSON RD
Mailing Address - Street 2:PO BOX 75
Mailing Address - City:REED CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49677
Mailing Address - Country:US
Mailing Address - Phone:231-832-3271
Mailing Address - Fax:231-832-1319
Practice Address - Street 1:300 N PATTERSON RD
Practice Address - Street 2:
Practice Address - City:REED CITY
Practice Address - State:MI
Practice Address - Zip Code:49677
Practice Address - Country:US
Practice Address - Phone:231-832-7170
Practice Address - Fax:231-832-1319
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REED CITY HOSPITAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-26
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI670021261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0F71000OtherBCBS
MI0F71019OtherBCBS
MI0F71006OtherBCBS
MI0F76001Medicare PIN
MI0F71000OtherBCBS
MI0F71006OtherBCBS