Provider Demographics
NPI:1972830503
Name:STURGIS HOSPITAL INC
Entity Type:Organization
Organization Name:STURGIS HOSPITAL INC
Other - Org Name:STURGIS HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HOME HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REEG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:269-625-9851
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:B 01
Practice Address - City:STURGIS
Practice Address - State:MI
Practice Address - Zip Code:49091-1906
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:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0E125OtherBLUE CROSS BLUE SHIELD MICHIGAN
MI0E172OtherBLUE CROSS BLUE SHIELD
MI1748301Medicaid
MI0E125OtherBLUE CROSS BLUE SHIELD MICHIGAN
MI1748301Medicaid