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General NPI Number Information
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NPI Number | 1629079389
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Entity Type | Organization
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Legal Business Name | SCHOOLCRAFT MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 7870W US HIGHWAY 2
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City | MANISTIQUE
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State | MI
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Zip | 49854-8992
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Country | US
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Telephone | 906-341-2153
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Fax | 906-341-3299
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Provider Business Mailing Address
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Address Line | 7870W US HIGHWAY 2
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City | MANISTIQUE
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State | MI
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Zip | 49854-8992
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Country | US
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Telephone | 906-341-2153
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Fax | 906-341-3299
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Authorized Official
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Title or Position | CEO
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Name | ANDY BERTAPELLE
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Credential |
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Telephone | 906-341-3221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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