Organization
BARAGA COUNTY MEMORIAL HOSPITAL
Active
Other names
BCMH Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM ZWICKEY (CEO)
(906) 524-3321
Entity
Organization
Contact information
Practice address
18341 US HIGHWAY 41, LANSE, MI 49946-8024
(906) 524-6118
(906) 524-5126
Mailing address
18341 US HIGHWAY 41, LANSE, MI 49946-8024
(906) 524-6118
(906) 524-5126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0Z71003
BCBS GROUP ID
MI
01
—
0Z71004
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
09/11/2006
Last updated
08/16/2011
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