Mymichigan Medical Center Midland is a Nurse Practitioner based in Midland, MI. Mymichigan Medical Center Midland practices in Midland, MI. The NPI Number for Mymichigan Medical Center Midland is 1639102163 and holds a License No. 6801082428 (Michigan).
The current practice location address for Mymichigan Medical Center Midland is 6810 Eastman Ave, Midland, MI and can be reached out via phone at 989-633-1400 and via fax at 989-633-1464.
Location: 6810 Eastman Ave, Midland, MI, 48642-7805
Provider Profile Details
NPI Number
1639102163
Provider Name
Mymichigan Medical Center Midland
Credential
Provider Entity Type
Organization
Address
6810 Eastman Ave, Midland, MI, 48642-7805
Phone Number
989-633-1400
Fax Number
989-633-1464
Provider Enumeration Date
07/08/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5173909 15 | 05 | MI | |
| 0E024 | 01 | MI | BLUE CROSS |
Provider Business Practice Location Address Details
Address
6810 Eastman Ave
City
State
Zip
48642-7805
Phone Number
989-633-1400
Fax Number
989-633-1464
Provider Business Mailing Address Details
Address
6810 Eastman Ave
City
State
Zip
48642-7805
Phone Number
989-633-1400
Fax Number
989-633-1464
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
6801075314 (Michigan)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
6801082428 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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