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NPI Code Detail

MEDICARE: MARLETTE REGIONAL HOSPITAL

MEDICARE: MARLETTE REGIONAL HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR1300XRural Health Clinic/CenterMO009325MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2080G910100OTHERMIBCBSM

General Provider Information

NPI Number : 1306999024
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARLETTE REGIONAL HOSPITAL
Provider Business Mailing Address
First Line : 245 S RIDGE ST
Second Line :
City : PORT SANILAC
State : MI
Zip : 48469-9704
Country : US
Telephone Number : 810-376-2835
Fax Number :
Provider Business Practice Location Address
First Line : 245 S RIDGE ST
Second Line :
City : PORT SANILAC
State : MI
Zip : 48469-9704
Country : US
Telephone Number : 810-376-2835
Fax Number :
Authorized Official
Title or Position : CEO
Name : ANGELA MCCONNACHIE
Credential :
Telephone Number : 989-635-4000
Provider Enumeration Date : 01/18/2007
Last Update Date : 03/06/2024

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Directions to “MARLETTE REGIONAL HOSPITAL ” Practice Location

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