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Contact Information

RAPPHA MEDICAL CENTER, P.L.L.C.
3911 STONEGATE PARK DR
SAINT JOSEPH, MI49085
 Phone: 269-408-1777
 Fax: 269-408-1755
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RAPPHA MEDICAL CENTER, P.L.L.C.

NPI Number 1184646267
LBN Legal business name RAPPHA MEDICAL CENTER, P.L.L.C.
Authorized official SHERRELL O'DONNELL - (PHYSICIAN/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/24/2006
Last updated 06/03/2009 - About 10 years ago
Identifiers
MI License # 5101014079
MI Medicaid 114507301
MI Other 1151101075 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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