# GOGEBIC MEDICAL CARE FACILITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609869841
- **Authorized official:** MR. ROBERT E DUNN (ADMINISTRATOR)
- **Authorized official phone:** (906) 224-9811

## Contact information

- **Practice address:** 402 NORTH ST, WAKEFIELD, MI 49968-9452
- **Practice address phone:** (906) 224-9811
- **Practice address fax:** (906) 224-1086
- **Mailing address:** 402 NORTH ST, WAKEFIELD, MI 49968-9452
- **Mailing address phone:** (906) 224-9811
- **Mailing address fax:** (906) 224-1086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 278510 | MI | Yes |

## Other

- **Enumeration date:** 08/23/2005
- **Last updated:** 11/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09614 | BLUE CROSS/BLUE SHIELD | MI |
| 05 | — | 2084190 | — | MI |