Healthcare Provider Details

I. General information

NPI: 1144479338
Provider Name (Legal Business Name): BELL MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2008
Last Update Date: 09/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S 4TH ST
ISHPEMING MI
49849-2151
US

IV. Provider business mailing address

101 S 4TH ST
ISHPEMING MI
49849-2151
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number5601005269
License Number StateMI

VIII. Authorized Official

Name: RUTH THIEBEAULT
Title or Position: BILLING MANAGER
Credential:
Phone: 906-485-2143