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NPI 1528064466

NPI 1528064466 : LEELANAU MEMORIAL HEALTH CENTER : NORTHPORT, MI

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General NPI Number Information
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    NPI Number           |    1528064466
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    Entity Type          |    Organization 
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    Legal Business Name  |    LEELANAU MEMORIAL HEALTH CENTER 
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Dates
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    Enumeration Date     |    06/24/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    215 HIGH ST 
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    City                 |    NORTHPORT
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    State                |    MI
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    Zip                  |    49670
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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         |    215 HIGH ST 
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    City                 |    NORHTPORT
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    State                |    MI
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    Zip                  |    49670
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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    |    ADMINISTRATOR
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    Name                 |    MISS KATHRINE  GARTHE 
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    Credential           |    
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    Telephone            |    231-935-6181
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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       |    
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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        |    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 #4
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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 #5
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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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