# SCHOOLCRAFT MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Hospital Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740323336
- **Authorized official:** ANDY BERTEPELLE (CEO)
- **Authorized official phone:** (906) 341-3221

## Contact information

- **Practice address:** 7870W US HIGHWAY 2, MANISTIQUE, MI 49854-8992
- **Practice address phone:** (906) 341-3234
- **Practice address fax:** (906) 341-3298
- **Mailing address:** 7870W US HIGHWAY 2, MANISTIQUE, MI 49854-8992
- **Mailing address phone:** (906) 341-3234
- **Mailing address fax:** (906) 341-3298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC0060X | Critical Access Hospital | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | 5301000848 | MI | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 03/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2325202 | BLUE CROSS BLUE SHIELD MI | MI |