Healthcare Provider Details

I. General information

NPI: 1447256276
Provider Name (Legal Business Name): SCHOOLCRAFT MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7870W US HIGHWAY 2
MANISTIQUE MI
49854-8992
US

IV. Provider business mailing address

7870W US HIGHWAY 2
MANISTIQUE MI
49854-8992
US

V. Phone/Fax

Practice location:
  • Phone: 906-341-3284
  • Fax: 906-341-1978
Mailing address:
  • Phone: 906-341-3284
  • Fax: 906-341-1978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number778613
License Number StateMI

VIII. Authorized Official

Name: ANDY BERTAPELLE
Title or Position: CEO
Credential:
Phone: 906-341-3221