MIDMICHIGAN MEDICAL OFFICES-BEAVERTON
NPI 1114278140
Clinic/Center - Federally Qualified Health Center (FQHC) in Beaverton, MI
NPI Status: Active since October 01, 2012
Contact Information
439 S ROSS ST
BEAVERTON, MI
ZIP 48612
Phone: (989) 246-3500
Fax: (989) 246-3519
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
- CLIA Number: 23D0374579
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 12-22-2025
About MIDMICHIGAN MEDICAL OFFICES-BEAVERTON
This page provides the complete NPI Profile along with additional information for Midmichigan Medical Offices-beaverton, a primary care provider established in Beaverton, Michigan operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1114278140 assigned on October 2012. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Midmichigan Medical Offices-beaverton. The authorized official of this NPI record is James P Raschke Mba (Executive Director)
- NPI
- 1114278140
- Provider Legal Name
- MIDMICHIGAN HEALTH SERVICES
- Other Organization Name
- MIDMICHIGAN MEDICAL OFFICES-BEAVERTON
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 439 S ROSS ST BEAVERTON, MI 48612
- Location Phone
- (989) 246-3500
- Location Fax
- (989) 246-3519
- Mailing Address
- 9249 W LAKE CITY RD HOUGHTON LAKE, MI 48629
- Mailing Phone
- (989) 422-5122
- Mailing Fax
- (989) 246-3519
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-01-2012
- Last Update Date
- 05-20-2014
- Code Navigator
A primary care provider (PCP) like Midmichigan Medical Offices-beaverton sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Local HMO Bronze Extra - HMO
- Blue Cross� Local HMO Bronze Secure - HMO
- Blue Cross� Local HMO Silver Extra - HMO
- Blue Cross� Local HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 231987 | MEDICARE PIN (08) | MI | |
| 0G27604 | MEDICARE PIN (08) | MI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D0374579
- Facility Type
- Hospital
- Certificate Effective Date
- December 23, 2023
- Certificate Expiration Date
- December 22, 2025
- Laboratory Director
- DR. HENRY ARMAH
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Midmichigan Medical Offices-beaverton on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 2 | 7 | 8 | 1 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 4 | 7 | 16 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 4 + 7 + 1 + 6 + 1 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1114278140 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1356400923 | STEVEN WOODWARD PICARD MD Individual | Family Medicine | 439 S ROSS ST BEAVERTON, MI 48612 (989) 246-3500 |
| 1407169832 | ANN MARIE ROEHRS FNP Individual | Nurse Practitioner (Family) | 439 S ROSS ST MIDMICHIGAN MEDICAL OFFICES-BEAVERTON BEAVERTON, MI 48612 (989) 246-3500 |
| 1366484271 | DANNY D GREIG II M.D. Individual | Family Medicine | 439 S ROSS ST BEAVERTON, MI 48612 (989) 246-3500 |
| 1275936445 | SUSAN M KNOERR DNP,FNP Individual | Nurse Practitioner (Family) | 439 S ROSS ST BEAVERTON, MI 48612 (989) 246-3500 |
| 1801970850 | MS. ROSEMARY MCCALLUM-HERBERT LMSW, CAAC Individual | Social Worker (Clinical) | 439 S ROSS ST BEAVERTON, MI 48612 (989) 246-3500 |
| 1346552718 | VINOSHA BALAKRISHNAN M.D Individual | Family Medicine | 439 S ROSS ST BEAVERTON, MI 48612 (989) 246-3500 |
| 1306186812 | AMANDA LYNN CISSE MSW Individual | Social Worker (Clinical) | 439 S ROSS ST BEAVERTON, MI 48612 (989) 422-5122 |
| 1972073807 | JENNA M MCCUMMINGS AGPCNP-BC Individual | Nurse Practitioner (Primary Care) | 439 S ROSS ST BEAVERTON, MI 48612 (989) 246-3500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114278140, enumerated in the NPI registry as an "organization" on October 01, 2012
The provider is located at 439 S Ross St Beaverton, Mi 48612 and the phone number is (989) 246-3500
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 23D0374579 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on October 01, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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