Organization
SCHOOLCRAFT MEMORIAL HOSPITAL
Active
Other names
Memorial Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY BERTEPELLE (CEO)
(906) 341-3221
Entity
Organization
Contact information
Practice address
7870W US HIGHWAY 2, MANISTIQUE, MI 49854-8992
(906) 341-3234
(906) 341-3298
Mailing address
7870W US HIGHWAY 2, MANISTIQUE, MI 49854-8992
(906) 341-3234
(906) 341-3298
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
—
—
3336I0012X
Institutional Pharmacy
Primary
5301000848
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2325202
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
02/14/2007
Last updated
03/26/2024
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