Organization
BARAGA COUNTY MEMORIAL HOSPITAL
Active
Other names
Baraga County Home Care & Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P TEMBREULL JR. (ADMINISTRATOR)
(906) 524-3321
Entity
Organization
Contact information
Practice address
510 MEMORIAL ST, SUITE A, LANSE, MI 49946-1138
(906) 524-4663
(906) 524-5663
Mailing address
510 MEMORIAL ST, SUITE A, LANSE, MI 49946-1138
(906) 524-4663
(906) 524-5663
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
073512
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08789
BLUE CROSS
MI
05
—
4132062
—
MI
Enumeration date
09/20/2006
Last updated
11/09/2007
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