Organization
PAUL OLIVER MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER MARINOFF (PRESIDENT/CEO SOUTH REIGON)
(231) 352-2259
Entity
Organization
Contact information
Practice address
224 PARK AVE, FRANKFORT, MI 49635-9658
(231) 935-6181
(231) 935-7952
Mailing address
224 PARK AVE, FRANKFORT, MI 49635-9658
(231) 935-6181
(231) 935-7952
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
MI
282N00000X
General Acute Care Hospital
—
MI
282NC0060X
Critical Access Hospital
Primary
—
MI
313M00000X
Nursing Facility/Intermediate Care Facility
—
MI
314000000X
Skilled Nursing Facility
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00149
BLUE CROSS HOSPITAL
MI
01
—
09542
BLUE CROSS LTC SECONDARY
MI
01
—
15149
BLUE CROSS LTC PRIMARY
MI
05
—
1557560
—
MI
05
—
1792687
—
MI
05
—
5171628
—
MI
Enumeration date
06/24/2005
Last updated
04/02/2024
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