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MYMICHIGAN MEDICAL CENTER SAULT
NPI 1184786261
Specialist in Sault Ste Marie, MI

Active since December 14, 2006CLIA Certified · 2 labs
500 OSBORN BLVD, SAULT STE MARIE, MI 49783(906) 635-4469(906) 635-4467 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2026, Nov 19, 2025 (2 updates tracked since 2025).

About Mymichigan Medical Center Sault NPPES

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

MYMICHIGAN MEDICAL CENTER SAULT (NPI 1184786261), doing business as War Memorial Professional Diagnostic Services, is a healthcare organization registered as a specialist in Sault Ste Marie, Michigan and active in the NPI registry since December 2006. The organization holds 2 active CLIA laboratory certificates and lists Sarah James, Manager, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1184786261
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMYMICHIGAN MEDICAL CENTER SAULT
Location Address500 OSBORN BLVDSault Ste Marie, MI 49783-1822
Mailing Address4000 Wellness DrMidland, MI 48670-2000 · (844) 832-1956 · Fax (989) 633-5241
Phone(906) 635-4469
Fax(906) 635-4467
Organization SubpartNo
Authorized OfficialSarah JamesManager, Provider Enrollment · (989) 701-4734
Enumeration DateDecember 14, 2006
Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1184786261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
500 OSBORN BLVD, Sault Ste Marie, MI 49783
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Other Names 1

Doing Business AsWar Memorial Professional Diagnostic Services

Other Identifiers 2

OtherCA5300MI · Medicare Railroad
Other300A710390MI · Blue Cross Blue Shield

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

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 23D2335314

Mymichigan Medical Center Sault Long Term Care · Sault Sainte Marie, MI
Active · expires Dec 8, 2027
CLIA Number23D2335314
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 9, 2025
Certificate Expiration DateDecember 8, 2027
Laboratory DirectorShannon Beckman
Laboratory Phone(906) 635-4410
Laboratory LocationMymichigan Medical Center Sault Long Term Care500 Osborn Blvd, Sault Sainte Marie, MI 49783
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 23D0381904

Mymichigan Medical Center- Sault · Sault Sainte Marie, MI
Active · expires Sep 18, 2026
CLIA Number23D0381904
Laboratory TypeHospital
Certificate Effective DateSeptember 19, 2024
Certificate Expiration DateSeptember 18, 2026
Laboratory DirectorChunming Liu
Laboratory Phone(906) 635-4620
Laboratory LocationMymichigan Medical Center- Sault500 Osborn Blvd, Sault Sainte Marie, MI 49783
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARMINE MAZZUCA ACNPC-AG
Nurse Practitioner (Critical Care Medicine)
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-4460
THADDEUS ROGALLA MS/CCC-SLP
Speech-Language Pathologist
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-4426
SAKSHI GUPTA PT, MPT
Physical Therapist
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-4426
DR. BENJAMIN ISAAC GLUCK MD
Emergency Medicine
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-4460
JANET SUE FARRISH-GRAVELLE LMSW
Counselor (Mental Health)
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-2969
TARA MICHELLE MILLER NP
Nurse Practitioner
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 636-4460
HEARING FIRST, INC
Hearing Aid Equipment
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Chippewa County (866) 278-2288
HAILEY COCKERILL
Physician Assistant
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-4460

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 Mymichigan Medical Center Sault's NPI number?

The NPI number for Mymichigan Medical Center Sault is 1184786261. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is doing business as War Memorial Professional Diagnostic Services.

Where is Mymichigan Medical Center Sault located?

Mymichigan Medical Center Sault is located at 500 Osborn Blvd, Sault Ste Marie, MI 49783. The listed phone number is (906) 635-4469.

What is Mymichigan Medical Center Sault's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Mymichigan Medical Center Sault 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 Mymichigan Medical Center Sault was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.