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NPI 1497750830

NPI 1497750830 : ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. : IRON RIVER, MI

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General NPI Number Information
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    NPI Number           |    1497750830
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. 
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Dates
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    Enumeration Date     |    06/14/2005
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    Last Update Date     |    06/07/2024
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Provider Practice Location Address
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    Address Line         |    1400 W ICE LAKE RD 
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    City                 |    IRON RIVER
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    State                |    MI
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    Zip                  |    49935
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    Country              |    US
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    Telephone            |    906-265-6121
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    Fax                  |    906-265-0741
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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            |    906-265-6121
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    Fax                  |    906-265-0741
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Authorized Official
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    Title or Position    |    SVP & CHIEF FINANCIAL OFFICER
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    Name                 |     JERRY M YANG 
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    Credential           |    
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    Telephone            |    715-847-2526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    282NC0060X
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    Taxonomy Name        |    Critical Access Hospital
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    License Number       |    231318
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    License Number State |    MI
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