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Organization

BARAGA COUNTY MEMORIAL HOSPITAL

Active
Other names
Baraga County Home Care & Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN P TEMBREULL JR. (ADMINISTRATOR)
(906) 524-3321
Entity
Organization

Contact information

Practice address
510 MEMORIAL ST, SUITE A, LANSE, MI 49946-1138
(906) 524-4663
Mailing address
510 MEMORIAL ST, SUITE A, LANSE, MI 49946-1138
(906) 524-4663

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
073512
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0E127
BLUE CROSS
MI
05
3366111
MI
Enumeration date
08/30/2006
Last updated
04/20/2008
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