Organization
SCHOOLCRAFT MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDY BERTAPELLE (CHIEF EXECUTIVE OFFICER)
(906) 341-3221
Entity
Organization
Contact information
Practice address
7870W US HIGHWAY 2, MANISTIQUE, MI 49854-8992
(906) 341-3200
(906) 341-1878
Mailing address
7870W US HIGHWAY 2, MANISTIQUE, MI 49854-8992
(906) 341-3200
(906) 341-1878
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00193
BLUE CROSS BLUE SHIELD
MI
05
—
30-1556984
—
MI
05
—
40-5171860
—
MI
01
—
M013458SI
TRICARE
MI
Enumeration date
07/18/2006
Last updated
03/26/2024
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