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General NPI Number Information
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NPI Number | 1114070026
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Entity Type | Organization
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Legal Business Name | ASPIRUS ONTONAGON HOSPITAL, INC.
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 601 S 7TH ST
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City | ONTONAGON
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State | MI
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Zip | 49953-1448
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Country | US
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Telephone | 906-884-8000
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Fax | 906-884-4384
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Provider Business Mailing Address
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Address Line | 29980 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1299
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Country | US
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Telephone | 715-847-2304
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Fax |
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Authorized Official
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Title or Position | VP OF REVENUE CYCLE
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Name | LORI PECK
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Credential |
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Telephone | 715-847-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 1060000116
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License Number State | MI
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