Organization
MARLETTE REGIONAL HOSPITAL
Active
Other names
Mayville Family Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA LIVIERATOS D.O. (MEDICAL DIRECTOR)
(989) 843-5135
Entity
Organization
Contact information
Practice address
2180 E OHMER RD, MAYVILLE, MI 48744-9501
(989) 843-5135
(989) 843-5121
Mailing address
2180 E OHMER RD, MAYVILLE, MI 48744-9501
(989) 843-5135
(877) 845-1481
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
MO009325
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080G910110
BCBSM
MI
05
—
4266253
—
MI
Enumeration date
01/17/2007
Last updated
09/21/2017
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