Organization
ATRIUM IRONWOOD LLC
Active
Other names
Atrium Ironwood, Inc., Westgate Nursing, Rehabilitation & Assisted Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LOCKHART (CHIEF ACCOUNTING OFFICER)
(614) 416-0600
Entity
Organization
Contact information
Practice address
1500 N LOWELL ST, IRONWOOD, MI 49938-1249
(906) 932-3867
(906) 932-3176
Mailing address
1500 N LOWELL ST, IRONWOOD, MI 49938-1249
(906) 932-3867
(906) 932-3176
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AH270236923
MI
314000000X
Skilled Nursing Facility
Primary
27-4020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09501
BCBS PROVIDER CODE
MI
05
—
60 2924539
—
MI
Enumeration date
07/12/2005
Last updated
03/03/2025
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