Organization
HOUGHTON COUNTY MEDICAL CARE FACILITY
Active
Other names
Canal View Houghton County
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE M BRISEBOIS SENIOR BILLING SPECI (SENIOR BILLING SPECIALIST)
(906) 483-2153
Entity
Organization
Contact information
Practice address
1100 W QUINCY ST, HANCOCK, MI 49930-1404
(906) 482-5050
(906) 482-4609
Mailing address
1100 W QUINCY ST, HANCOCK, MI 49930-1404
(906) 482-5050
(906) 482-4609
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
318510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09620
BLUE CROSS
MI
05
—
2085034
—
MI
Enumeration date
08/24/2005
Last updated
06/25/2019
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