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Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Other names
MARQUETTE GENERAL HEALTH SYSTEM
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY L WORDEN CPA (CHIEF FINANCIAL OFFICER)
(906) 225-3450
Entity
Organization
Contact information
Practice address
420 W MAGNETIC ST, MARQUETTE, MI 49855-2711
(906) 225-3406
(906) 225-3094
Mailing address
420 W MAGNETIC ST, MARQUETTE, MI 49855-2711
(906) 225-3406
(906) 225-3094
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
520050
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00002
BCBSM HOSPITAL
MI
01
—
11023100
WISCONSIN MEDICAID
MI
05
—
301556634
—
MI
05
—
404971378
—
MI
05
—
405171154
—
MI
01
—
430E26018
BLUE SHIELD CRNA GROUP
MI
01
—
43418700
WISC MEDICAID CRNA GROUP
WI
05
—
903292929
—
MI
01
—
DB4800
RAILROAD MEDICARE GROUP#
MI
Enumeration date
06/01/2005
Last updated
04/17/2009
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