Healthcare Provider Details

I. General information

NPI: 1558479824
Provider Name (Legal Business Name): BARAGA COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 05/31/2017
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
L'ANSE MI
49946
US

V. Phone/Fax

Practice location:
  • Phone: 906-524-3300
  • Fax: 906-524-3405
Mailing address:
  • Phone: 906-524-3300
  • Fax: 905-524-3405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number070020
License Number StateMI

VIII. Authorized Official

Name: MRS. MARQUERITE HALE
Title or Position: CEO
Credential:
Phone: 906-524-3300