# MARLETTE REGIONAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marlette Regional Hospital- SNF
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982789855
- **Authorized official:** DANIEL GUY BABCOCK (CEO)
- **Authorized official phone:** (989) 635-4002

## 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:** PO BOX 307, MARLETTE, MI 48453-0307
- **Mailing address phone:** (989) 635-4000
- **Mailing address fax:** (989) 635-4056

## Taxonomy

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

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 06/05/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09559 | BLUE CROSS | MI |
| 01 | — | 1003080 | HEALTHPLUS | MI |
| 01 | — | 125904 | GREAT LAKES HEALTHPLAN | MI |
| 01 | — | 15055 | BLUE CROSS - FULL COV | MI |
| 05 | — | 622000467 | — | MI |