Organization · Type 2 NPI
Mymichigan Medical Center Sault
Clinic/Center · Kincheloe, MI
NPI number
1295640753
Active
Practice location
16523 S Water Tower Dr
Kincheloe, MI 49788-1592
Mailing address
4000 Wellness Dr
Midland, MI 48670-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
8 other providers at this address
- Mymichigan Medical Center SaultPsychiatric Hospital Unit Kincheloe, MI NPI 1629260203
- Mymichigan Medical Center SaultFamily Medicine Physician Kincheloe, MI NPI 1851434419
- Jill Irene Sayer, NPPsychiatric/Mental Health Nurse Practitioner Kincheloe, MI NPI 1861500142
- Jonathan Sommers, NP-CFamily Nurse Practitioner Kincheloe, MI NPI 1982010864
- Katie PeabodyRecreation Therapist Kincheloe, MI NPI 1609252980
- Lorenell TomkinsonSocial Worker Kincheloe, MI NPI 1013397942
- Megan Marie BruciPsychiatric/Mental Health Nurse Practitioner Kincheloe, MI NPI 1417817073
- Rafael Parsons Aguirre, LMSWClinical Social Worker Kincheloe, MI NPI 1306249610
About NPI 1295640753
Mymichigan Medical Center Sault's National Provider Identifier is 1295640753, issued on Aug 18, 2026. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Kincheloe, MI. The record was last updated on Aug 18, 2026.