Michael Stack MD PC
Michael Stack MD PC is a healthcare organization registered as Rural Health Clinic/Center in Ithaca, MI, holding Type 2 (organization) NPI 1376580175 since 2006. The authorized official on file is Michael Stack, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1376580175 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Michael Stack MD PC |
| Other name | <Unavail> |
| Practice address | 121 N PINE RIVER ST, Ithaca, MI, 48847 |
| Phone | 9898755111 |
| Fax | 9898755023 |
| Enumeration date | 2006-06-01 |
| Last updated in NPPES | 2009-01-08 |
Authorized official
| Name | Michael Stack |
|---|---|
| Title | Owner |
| Phone | 9898755111 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Secondary | — | MI |
| 363LF0000X | Family Nurse Practitioner | Secondary | — | MI |
| 261QR1300X | Rural Health Clinic/Center | Primary | 4301064712 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B91071 | Other | MI | BCBSM |
Copy-ready billing details
Provider: Michael Stack MD PC NPI: 1376580175 Taxonomy: 261QR1300X (Rural Health Clinic/Center) Address: 121 N PINE RIVER ST, Ithaca, MI, 48847
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1033108667 | Matthew Stack | Individual | Physician Assistant | Ithaca, MI |
| 1932146685 | Michael Stack | Individual | Family Medicine Physician | Ithaca, MI |
| 1528210366 | Elizabeth Hackert-Neff | Individual | Professional Counselor | Ithaca, MI |
| 1538301668 | Mymichigan Medical Center Alma | Organization | Rural Health Clinic/Center | Ithaca, MI |
| 1043704133 | Cora Pavlik | Individual | Family Nurse Practitioner | Ithaca, MI |
| 1982321378 | Aubree Akers | Individual | Family Nurse Practitioner | Ithaca, MI |
| 1174381974 | Trauma and Addiction Solutions Pllc | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Ithaca, MI |
Verify this record
Cross-check NPI 1376580175 against the authoritative CMS record: view Michael Stack MD PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Michael Stack MD PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-01-08.