Organization
ASPIRUS KEWEENAW
Active
Other names
Aspirus Keweenaw Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY M YANG (SVP & CHIEF FINANCIAL OFFICER)
(715) 847-2526
Entity
Organization
Contact information
Practice address
205 OSCEOLA STREET, LAURIUM, MI 49913-2134
(906) 337-6500
(906) 337-6597
Mailing address
205 OSCEOLA STREET, LAURIUM, MI 49913-2134
(906) 337-6500
(906) 337-6597
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
231319
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00108
BLUE CROSS OF MICHIGAN
MI
05
—
1556607
—
MI
05
—
5170264
—
MI
Enumeration date
11/30/2006
Last updated
06/06/2024
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