MIDMICHIGAN MEDICAL OFFICES-BEAVERTON
NPI 1114278140
Clinic/Center - Federally Qualified Health Center (FQHC) in Beaverton, MI
About Midmichigan Medical Offices-beaverton NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDMICHIGAN MEDICAL OFFICES-BEAVERTON (NPI 1114278140) is a healthcare organization registered as a federally qualified health center (fqhc) in Beaverton, Michigan and active in the NPI registry since October 2012. The organization holds 2 active CLIA laboratory certificates and lists James P Raschke, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Midmichigan Medical Offices-beaverton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
31Medicare enrollment records show 31 clinicians reassign Medicare billing to Midmichigan Medical Offices-Beaverton, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 31Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D2036102
Midmichigan Medical Offices Beaverton · Beaverton, MICertificate of Waiver 23D0374773
Midmichigan Medical Offices Roscommon · Roscommon, MIFrequently 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 Midmichigan Health Services's NPI number?
The NPI number for Midmichigan Health Services is 1114278140. It was assigned to this organization in the NPPES registry on October 1, 2012. The provider is doing business as Midmichigan Medical Offices-Beaverton.
Where is Midmichigan Health Services located?
Midmichigan Health Services is located at 439 S Ross St, Beaverton, MI 48612. The listed phone number is (989) 246-3500.
What is Midmichigan Health Services's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Midmichigan Health Services enrolled in Medicare?
Yes. Midmichigan Health Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Midmichigan Health Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 7 Medicare specialties reassign their Medicare billing to Midmichigan Health Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (18), Family Practice (6) and Clinical Social Worker (3). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Midmichigan Health Services hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Midmichigan Health Services was last updated on May 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Midmichigan Medical Offices-Beaverton · NPI 1114278140
Federally Qualified Health Center (FQHC) organization in Beaverton, Michigan. Organization record, active in the CMS NPPES registry since October 1, 2012.
## Identity
- **NPI:** 1114278140 (Entity type: Organization)
- **Enumerated:** October 1, 2012
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Midmichigan Health Services
- **Organization subpart:** No
- **Authorized official:** James Raschke, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 439 S ROSS ST, Beaverton, MI 48612-9101
- **Phone:** (989) 246-3500 · **Fax:** (989) 246-3519
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 31 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (18), Family Practice (6), Clinical Social Worker (3); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1114278140/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2014
- **Other identifiers:** Medicare PIN 231987 (MI); Medicare PIN 0G27604 (MI)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114278140) · Data from the CMS NPPES public registry.