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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