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Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Other names
Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. A. GARY MULLER (CHIEF EXECUTIVE OFFICER)
(906) 225-4821
Entity
Organization
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-3985
(906) 225-4562
Mailing address
4602 DEPT, CAROL STREAM, IL 60122-4602
(926) 225-3985
(906) 225-4562
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E26030
BCBSM
MI
01
—
0E27611
BCBS LLP GROUP
MI
01
—
750910835
BCBSM OPC
MI
01
—
750910839
BCBSM OPC
MI
01
—
750910840
BCBSM OPC
MI
01
—
CA1145
RAILROAD MEDICARE
MI
01
—
CA9327
RAILROAD MEDICARE
MI
01
—
CI1054
RAILROAD MEDICARE
MI
01
—
CN8789
RAILROAD MEDICARE
MI
Enumeration date
04/14/2006
Last updated
11/04/2009
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