Organization
SCHOOLCRAFT MEMORIAL HOSPITAL
Active
Parent organization
SCHOOLCRAFT MEMORIAL HOSPITAL
Other names
Schoolcraft Memorial HomeCare and Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCHOOLCRAFT MEMORIAL HOSPITAL
Authorized official
ANDY BERTAPELLE (CEO)
(906) 341-3221
Entity
Organization
Contact information
Practice address
7870W US HIGHWAY 2, MANISTIQUE, MI 49854-8992
(906) 341-3284
(906) 341-1978
Mailing address
7870W US HIGHWAY 2, MANISTIQUE, MI 49854-8992
(906) 341-3284
(906) 341-1978
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
778613
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E095
BCBSM PROVIDER NUMBER
MI
05
—
3203740
—
MI
01
—
P00193
BCN PROVIDER NUMBER
MI
Enumeration date
06/27/2005
Last updated
03/26/2024
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