MEDILODGE OF GAYLORD
NPI 1154848224
Skilled Nursing Facility in Gaylord, MI
About Medilodge Of Gaylord NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDILODGE OF GAYLORD (NPI 1154848224) is a healthcare organization registered as a skilled nursing facility in Gaylord, Michigan and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Stacey Paul Rogers, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
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 23D0669189
Gaylord Opco, LLC · Gaylord, MIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gaylord Opco, LLC's NPI number?
The NPI number for Gaylord Opco, LLC is 1154848224. It was assigned to this organization in the NPPES registry on August 29, 2017. The provider is doing business as Medilodge Of Gaylord.
Where is Gaylord Opco, LLC located?
Gaylord Opco, LLC is located at 508 Random Ln, Gaylord, MI 49735. The listed phone number is (989) 732-3508.
What is Gaylord Opco, LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Gaylord Opco, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D0669189) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Gaylord Opco, LLC was last updated on August 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.