ST. MARYS MEDICAL CENTER, PC
NPI 1104066315
Family Medicine in Sault Sainte Marie, MI

Q: What is St. Marys Medical Center, PC's NPI number?

The NPI number for St. Marys Medical Center, PC is 1104066315. It was assigned to this organization in the NPPES registry on February 27, 2009.

Q: What is St. Marys Medical Center, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since February 27, 2009

943 E PORTAGE AVE, SAULT SAINTE MARIE, MI 49783(906) 632-7878 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About St. Marys Medical Center, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. MARYS MEDICAL CENTER, PC (NPI 1104066315) is a healthcare organization registered as a family medicine in Sault Sainte Marie, Michigan and active in the NPI registry since February 2009. The organization lists Robert James Graham, President, as its authorized official.

NPPES Registry Identity

NPI1104066315

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameST. MARYS MEDICAL CENTER, PC

Location Address943 E PORTAGE AVESault Sainte Marie, MI 49783-2465

Mailing Address943 E Portage AveSault Sainte Marie, MI 49783-2465 · (906) 632-7878

Phone(906) 632-7878

Organization SubpartNo

Authorized OfficialRobert James GrahamPresident · (906) 632-7878

Enumeration DateFebruary 27, 2009

Last NPPES UpdateMay 24, 2012

✔ NPI 1104066315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · RG005899

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

943 E PORTAGE AVE, Sault Sainte Marie, MI 49783

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Other Identifiers 3

Medicare PIN51724524012MI

Medicare UPINE37487MI

Medicaid2786942MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Marys Medical Center, PC's NPI number?

The NPI number for St. Marys Medical Center, PC is 1104066315. It was assigned to this organization in the NPPES registry on February 27, 2009.

Where is St. Marys Medical Center, PC located?

St. Marys Medical Center, PC is located at 943 E Portage Ave, Sault Sainte Marie, MI 49783. The listed phone number is (906) 632-7878.

What is St. Marys Medical Center, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for St. Marys Medical Center, PC was last updated on May 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.