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MHSN ROSCOMMON MPCA
NPI 1306096516
Family Medicine in Roscommon, MI

Active since September 24, 2008
234 LAKE ST, ROSCOMMON, MI 48653(989) 275-1200 Get Directions Write a Review

NPPES record last updated: September 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mhsn Roscommon Mpca NPPES

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

MHSN ROSCOMMON MPCA (NPI 1306096516) is a healthcare organization registered as a family medicine in Roscommon, Michigan and active in the NPI registry since September 2008. The organization lists Stephanie Riemer-matuzak, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1306096516
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMHSN ROSCOMMON MPCA
Location Address234 LAKE STRoscommon, MI 48653-9203
Mailing AddressPo Box 647Grayling, MI 49738-0647
Phone(989) 275-1200
Organization SubpartNo
Authorized OfficialStephanie Riemer-matuzakChief Executive Officer · (989) 348-5461
Enumeration DateSeptember 24, 2008
✔ NPI 1306096516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
234 LAKE ST, Roscommon, MI 48653
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Other Identifiers 1

Medicare PIN0M61000

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

ANGELA JOAN VANDERKARR FNP-C
Nurse Practitioner (Family)
234 LAKE ST
ROSCOMMON, MI 48653
Roscommon County (989) 275-1200
MRS. AMORETTE LEANN ANDERSON FNP-BC
Nurse Practitioner (Family)
234 LAKE ST
ROSCOMMON, MI 48653
Roscommon County (989) 275-1200
TIMOTHY J THORNTON MD
Family Medicine
234 LAKE ST
ROSCOMMON, MI 48653
Roscommon County (989) 275-1200
MARK E DIBBET MD
Family Medicine
234 LAKE ST
ROSCOMMON, MI 48653
Roscommon County (989) 275-1200
MHSN ROSCOMMON MPCA
Family Medicine
234 LAKE ST
ROSCOMMON, MI 48653
Roscommon County (989) 275-1200
MERCY HOSPITAL GRAYLING
Clinic/Center (Rural Health)
234 LAKE ST
ROSCOMMON, MI 48653
Roscommon County (989) 275-1200
MUNSON HEALTHCARE GRAYLING
Family Medicine
234 LAKE ST
ROSCOMMON, MI 48653
Roscommon County (989) 275-1200
MUNSON HEALTHCARE GRAYLING
Clinic/Center (Rural Health)
234 LAKE ST
ROSCOMMON, MI 48653
Roscommon County (989) 275-1200

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 Mhsn Roscommon Mpca's NPI number?

The NPI number for Mhsn Roscommon Mpca is 1306096516. It was assigned to this organization in the NPPES registry on September 24, 2008.

Where is Mhsn Roscommon Mpca located?

Mhsn Roscommon Mpca is located at 234 Lake St, Roscommon, MI 48653. The listed phone number is (989) 275-1200.

What is Mhsn Roscommon Mpca'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 Mhsn Roscommon Mpca was last updated on September 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.