Organization
MARQUETTE COUNTY MEDICAL CARE
Active
Other names
Marquette County Medical Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME D. HUBBARD (ADMINISTRATOR)
(906) 485-4887
Entity
Organization
Contact information
Practice address
200 SAGINAW STREET, ISHPEMING, MI 49849-2469
(906) 485-1061
(906) 485-4080
Mailing address
200 SAGINAW STREET, ISHPEMING, MI 49849-2469
(906) 485-1061
(906) 485-4080
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1070000233
MI
314000000X
Skilled Nursing Facility
528511
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09643
BLUE CROSS BLUE SHIELD
MI
05
—
1230573
—
MI
Enumeration date
06/30/2005
Last updated
05/28/2015
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