Healthcare Provider Details

I. General information

NPI: 1154372027
Provider Name (Legal Business Name): BELL MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 07/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 LAKESHORE DRIVE
ISHPEMING MI
49849-1367
US

IV. Provider business mailing address

901 LAKESHORE DRIVE
ISHPEMING MI
49849-1367
US

V. Phone/Fax

Practice location:
  • Phone: 906-486-4431
  • Fax: 906-485-2737
Mailing address:
  • Phone: 906-486-4431
  • Fax: 906-485-2737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number520051
License Number StateMI

VIII. Authorized Official

Name: MR. GERALD A MESSANA
Title or Position: CFO
Credential:
Phone: 906-485-2643