Organization
MARLETTE REGIONAL HOSPITAL
Active
Other names
Port Sanilac Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MCCONNACHIE (CEO)
(989) 635-4000
Entity
Organization
Contact information
Practice address
245 S RIDGE ST, PORT SANILAC, MI 48469-9704
(810) 376-2835
Mailing address
245 S RIDGE ST, PORT SANILAC, MI 48469-9704
(810) 376-2835
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
MO009325
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080G910100
BCBSM
MI
05
—
4266244
—
MI
Enumeration date
01/18/2007
Last updated
03/06/2024
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