# UPPER PENINSULA MANAGED CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UP Health Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104195601
- **Authorized official:** MR. DENNIS SMITH (PRESIDENT & CEO)
- **Authorized official phone:** (906) 225-7500

## Contact information

- **Practice address:** 228 W WASHINGTON ST, MARQUETTE, MI 49855-4330
- **Practice address phone:** (906) 225-7500
- **Mailing address:** 228 W WASHINGTON ST, MARQUETTE, MI 49855-4330
- **Mailing address phone:** (906) 225-7500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 4704112142 | MI | — |
| 251B00000X | Case Management Agency | 4704114122 | MI | — |
| 251B00000X | Case Management Agency | 4704122245 | MI | — |
| 251B00000X | Case Management Agency | 4704191191 | MI | — |
| 251B00000X | Case Management Agency | 4704192981 | MI | — |
| 251B00000X | Case Management Agency | 4704253641 | MI | Yes |

## Other

- **Enumeration date:** 12/29/2011
- **Last updated:** 12/29/2011