Organization
BARAGA COUNTY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARQUERITE HALE (CEO)
(906) 524-3300
Entity
Organization
Contact information
Practice address
18341 US HIGHWAY 41, LANSE, MI 49946-8024
(906) 524-3300
(906) 524-3405
Mailing address
18341 US HIGHWAY 41, L'ANSE, MI 49946
(906) 524-3300
(905) 524-3405
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
070020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00204
BLUE CROSS
MI
05
—
1555305
—
MI
01
—
231307
MEDICARE PART A
MI
05
—
5170086
—
MI
01
—
P00204
BLUE CROSS NETWORK ID
MI
Enumeration date
08/28/2006
Last updated
05/31/2017
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