Organization
BARAGA COUNTY MEMORIAL HOSPITAL
Active
Organization
BARAGA COUNTY MEMORIAL HOSPITAL
Active
Other names
Baraga County Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
KEN L. PEPIN JR. (PRACTICE MANAGER)
(906) 524-3435
Entity
Organization
Contact information
Practice address
510 MEMORIAL ST, LANSE, MI 49946-1138
(906) 524-7156
Mailing address
510 MEMORIAL ST, LANSE, MI 49946-1138
(906) 524-7156
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3205487
—
MI
01
—
540Z702510
BLUE CROSS
MI
Enumeration date
09/11/2006
Last updated
06/26/2008
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