Organization
MARQUETTE GENERAL HOSPITAL INC
Active
Parent organization
MARQUETTE GENERAL HOSPITAL INC
Other names
Marquette General Home Health and Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARQUETTE GENERAL HOSPITAL INC
Authorized official
MR. CRAIG CHARTIER (DIR OF HOME HEALTH)
(906) 228-4325
Entity
Organization
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-4774
(906) 225-3642
Mailing address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 228-4325
(906) 225-3642
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2883310
—
MI
05
—
41528500
—
WI
01
—
4364316
CSHCS MICHIGAN MEDICAID
MI
Enumeration date
10/26/2005
Last updated
08/13/2012
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