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General NPI Number Information
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NPI Number | 1427054360
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Entity Type | Organization
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Legal Business Name | PAUL OLIVER MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 224 PARK AVE
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City | FRANKFORT
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State | MI
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Zip | 49635-9658
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Country | US
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Telephone | 231-935-6181
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Fax | 231-935-7952
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Provider Business Mailing Address
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Address Line | 224 PARK AVE
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City | FRANKFORT
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State | MI
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Zip | 49635-9658
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Country | US
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Telephone | 231-935-6181
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Fax | 231-935-7952
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Authorized Official
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Title or Position | PRESIDENT/CEO SOUTH REIGON
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Name | PETER MARINOFF
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Credential |
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Telephone | 231-352-2259
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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 |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State | MI
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