Healthcare Provider Details

I. General information

NPI: 1851409643
Provider Name (Legal Business Name): BARAGA COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 04/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18341 US HIGHWAY 41
LANSE MI
49946-8024
US

IV. Provider business mailing address

18341 US HIGHWAY 41
LANSE MI
49946-8024
US

V. Phone/Fax

Practice location:
  • Phone: 906-524-6118
  • Fax: 906-524-6218
Mailing address:
  • Phone: 906-524-6118
  • Fax: 906-524-6218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateMI

VIII. Authorized Official

Name: MRS. MARGIE HALE
Title or Position: CEO
Credential:
Phone: 906-524-3320