MEDICARE: NORTH BRANCH HEALTHCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282NC0060X	Critical Access Hospital

General Provider Information

NPI Number	:	1831331412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH BRANCH HEALTHCARE

Provider Business Mailing Address
First Line	:	2770 MAIN ST
Second Line	:
City	:	MARLETTE
State	:	MI
Zip	:	48453-1141
Country	:	US
Telephone Number	:	989-635-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 HURON ST
Second Line	:
City	:	NORTH BRANCH
State	:	MI
Zip	:	48461-8664
Country	:	US
Telephone Number	:	810-688-3048
Fax Number	:	810-688-2640

Authorized Official
Title or Position	:	CEO
Name	:	GREG RORAFF
Credential	:
Telephone Number	:	989-635-4000

Provider Enumeration Date	:	03/30/2009
Last Update Date	:	03/30/2009

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Directions to “NORTH BRANCH HEALTHCARE ” Practice Location

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