Provider Demographics
NPI:1770720989
Name:REED CITY HOSPITAL CORPORATION
Entity type:Organization
Organization Name:REED CITY HOSPITAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOERL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-832-7177
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:49677-8041
Mailing Address - Country:US
Mailing Address - Phone:231-832-8509
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:49677-8041
Practice Address - Country:US
Practice Address - Phone:231-832-8509
Practice Address - Fax:231-832-1319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-09
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI670021367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0F76004OtherBCBS
MI0F76004OtherBCBS