Healthcare Provider Details

I. General information

NPI: 1013789015
Provider Name (Legal Business Name): ACQUISITION BELL HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2023
Last Update Date: 06/24/2024
Certification Date: 06/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 LAKESHORE DR
ISHPEMING MI
49849-1367
US

IV. Provider business mailing address

901 LAKESHORE DR
ISHPEMING MI
49849-1367
US

V. Phone/Fax

Practice location:
  • Phone: 906-486-4431
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: HAYLEY FISHER
Title or Position: MEDICAL STAFF COORDINATOR
Credential:
Phone: 906-485-2619