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General NPI Number Information
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NPI Number | 1558479824
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Entity Type | Organization
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Legal Business Name | BARAGA COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 05/31/2017
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Provider Practice Location Address
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Address Line | 18341 US HIGHWAY 41
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City | LANSE
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State | MI
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Zip | 49946-8024
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Country | US
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Telephone | 906-524-3300
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Fax | 906-524-3405
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Provider Business Mailing Address
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Address Line | 18341 US HIGHWAY 41
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City | L'ANSE
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State | MI
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Zip | 49946
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Country | US
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Telephone | 906-524-3300
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Fax | 905-524-3405
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Authorized Official
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Title or Position | CEO
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Name | MRS. MARQUERITE HALE
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Credential |
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Telephone | 906-524-3300
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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 | 070020
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License Number State | MI
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