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Organization
MARQUETTE COUNTY MEDICAL CARE
Active
Organization
MARQUETTE COUNTY MEDICAL CARE
Active
Other names
Marquette County Medical Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME D. HUBBARD (ADMINISTRATOR)
(906) 485-4887
Entity
Organization
Contact information
Practice address
200 SAGINAW STREET, ISHPEMING, MI 49849-2469
(906) 485-1061
(906) 485-4080
Mailing address
200 SAGINAW STREET, ISHPEMING, MI 49849-2469
(906) 485-1061
(906) 485-4080
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1070000233
MI
314000000X
Skilled Nursing Facility
528511
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09643
BLUE CROSS BLUE SHIELD
MI
05
—
1230573
—
MI
Enumeration date
06/30/2005
Last updated
05/28/2015
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