Organization
NORTH OTTAWA COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORA BOITEN RN (ADMINISTRATOR)
(616) 846-2015
Entity
Organization
Contact information
Practice address
1061 S BEACON BLVD, SUITE 100, GRAND HAVEN, MI 49417-2587
(616) 847-9090
Mailing address
1061 S BEACON BLVD, SUITE 100, GRAND HAVEN, MI 49417-2587
(616) 847-9090
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1496349-15
—
MI
01
—
OE124
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/29/2005
Last updated
08/09/2013
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