Unknown Individual – Emergency Medicine Physician, NPI 1104877968

Unknown Individual is a healthcare provider. based in Coldwater, Michigan. specializing in Emergency Medicine Physician. They hold a License No. 4301041299 (MI). The NPI Number for Unknown Individual is 1104877968

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104877968
Phone
(517) 279-4425
Address
28 W CHICAGO ST
Deactivation Date
28 January 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 28, West Chicago Street, Coldwater, Branch County, Michigan, 49036, United States

    STE 2A

    COLDWATER, MI 490361677

    Phone: (517) 279-4425

    Type: Mailing

  • Community Health Center of Branch County, 274, East Chicago Street, Coldwater, Branch County, Michigan, 49036, United States

    COLDWATER, MI 490362041

    Phone: (517) 279-4425

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49036)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1104877968 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Coldwater, Michigan as the reference point for Unknown Individual, then confirm.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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