Organization
MARLETTE REGIONAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MCCONNACHIE (CHIEF EXECUTIVE OFFICER)
(989) 635-4000
Entity
Organization
Contact information
Practice address
2770 MAIN ST, MARLETTE, MI 48453-1141
(989) 635-4000
(989) 635-4206
Mailing address
2770 MAIN ST, PO BOX 307, MARLETTE, MI 48453-1141
(989) 635-4000
(989) 635-4206
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
341600000X
Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00002770
HEALTHPLUS
MI
01
—
00055
BLUE CROSS PROVIDER NUMBE
MA
01
—
118443
GREAT LAKES HEALTH PLAN
MI
05
—
182769979
—
MI
05
—
301555735
—
MI
05
—
404971340
—
MI
05
—
405171145
—
MI
Enumeration date
10/26/2006
Last updated
06/05/2023
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