Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MCCOOL CPC (OFFICE MANAGER)
(989) 791-0452
Entity
Organization
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-3406
(906) 225-3094
Mailing address
PO BOX 640, MARQUETTE, MI 49855-0640
(906) 225-3406
(906) 225-3094
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430E26018
BCBSM CRNA GROUP#
MI
05
—
43418700
—
WI
01
—
DB4800
RAILROAD MEDICARE GROUP#
MI
Enumeration date
07/02/2008
Last updated
07/29/2008
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