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Organization
HOUGHTON COUNTY MEDICAL CARE FACILITY
Active
Organization
HOUGHTON COUNTY MEDICAL CARE FACILITY
Active
Other names
Canal View Houghton County
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE M BRISEBOIS SENIOR BILLING SPECI (SENIOR BILLING SPECIALIST)
(906) 483-2153
Entity
Organization
Contact information
Practice address
1100 W QUINCY ST, HANCOCK, MI 49930-1404
(906) 482-5050
(906) 482-4609
Mailing address
1100 W QUINCY ST, HANCOCK, MI 49930-1404
(906) 482-5050
(906) 482-4609
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
318510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09620
BLUE CROSS
MI
05
—
2085034
—
MI
Enumeration date
08/24/2005
Last updated
06/25/2019
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