# MARLETTE REGIONAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MRH Nurse Practitioner Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700934767
- **Authorized official:** DAVID S MCEWEN (CEO)
- **Authorized official phone:** (989) 635-4000

## Contact information

- **Practice address:** 2770 MAIN ST, MARLETTE, MI 48453-1141
- **Practice address phone:** (989) 635-4000
- **Practice address fax:** (989) 635-4056
- **Mailing address:** 2770 MAIN ST, PO BOX 307, MARLETTE, MI 48453-1141
- **Mailing address phone:** (989) 635-4000
- **Mailing address fax:** (989) 635-4056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 02/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0944580 | HEALTHPLUS | MA |
| 01 | — | 0G66003 | BLUE SHIELD | MI |