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Organization

MARLETTE REGIONAL HOSPITAL

Active
Other names
United Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL GUY BABCOCK (CEO)
(989) 635-4002
Entity
Organization

Contact information

Practice address
2770 MAIN ST, MARLETTE, MI 48453-1141
(989) 635-4000
(989) 635-4056
Mailing address
2770 MAIN ST, PO BOX 307, MARLETTE, MI 48453-1141
(989) 635-4000
(989) 635-4056

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
315D00000X
Inpatient Hospice

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08705
BLUE CROSS
MI
01
0980897
HEALTHPLUS
MA
01
138037
GREAT LAKES HEALTH PLAN
MI
05
151791895
MI
Enumeration date
10/26/2006
Last updated
08/20/2020
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