MARLETTE REGIONAL HOSPITAL (NPI# 1073665279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073665279 |
Entity Type | Organization |
Organization Name | MARLETTE REGIONAL HOSPITAL |
Other Organization Name | MAYVILLE FAMILY HEALTHCARE |
Practice Address |
2180 E Ohmer Rd Mayville MI 48744-9501 |
Practice Telephone | 9898435135 |
Practice Fax Number | 9898435121 |
Mailing Telephone | 9898435135 |
Mailing Fax Number | 8778451481 |
Enumeration Date | 2007-01-17 |
Last Update Date | 2017-09-21 |
Authorized Official Name | DR. MARIA LIVIERATOS (MEDICAL DIRECTOR) |
Authorized Official Telephone | 9898435135 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MO009325 | MI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBSM | 080G910110 | 01 |
MI | 4266253 | 05 |
Other Name | Type Code |
---|---|
Mayville Family Healthcare | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235333931 | Marlette Regional Hospital | Family Medicine | 2750 Main St Ste 2, Marlette, MI 48453 | 2007-06-14 |
1306999024 | Marlette Regional Hospital | Clinic/Center | 5988 State Street, Kingston, MI 48741 | 2007-01-18 |
1881609493 | Marlette Regional Hospital | Pharmacy | 2770 Main St, Marlette, MI 48453-1141 | 2006-07-30 |
1225495013 | Marlette Regional Hospital | Orthopaedic Surgery | 2750 Main St, Marlette, MI 48453-1100 | 2016-01-25 |
1164679221 | Marlette Regional Hospital | Surgery | 2770 Main St, Marlette, MI 48453-1141 | 2008-08-20 |
1871797571 | Marlette Regional Hospital | Family Medicine | 4000 Huron St, North Branch, MI 48461 | 2007-06-14 |
1376695205 | Marlette Regional Hospital | Clinic/Center | 4472 Main St, Brown City, MI 48416-7908 | 2007-01-18 |
1700934767 | Marlette Regional Hospital | Nurse Practitioner | 2770 Main St, Marlette, MI 48453-1141 | 2007-01-08 |
1073698981 | Marlette Regional Hospital | Nurse Anesthetist, Certified Registered | 2770 Main St, Marlette, MI 48453-1141 | 2006-10-26 |
1023193901 | Marlette Regional Hospital | General Acute Care Hospital | 2770 Main St, Marlette, MI 48453-1141 | 2006-10-26 |
Street Address |
2180 E OHMER RD |
City | MAYVILLE |
State | MI |
Zip Code | 48744-9501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932214350 | Darla Dawn Mays | Physician Assistant | 2180 E Ohmer Rd, Mayville, MI 48744 | 2006-08-19 |
1316028400 | Maria Livieratos | Family Medicine | 2180 E Ohmer Rd, Mayville, MI 48744 | 2006-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033633995 | Holly A Colosky | Behavior Technician | 6148 Lincoln St., Po Box 675, Mayville, MI 48744 | 2017-08-01 |
1962514240 | Kenneth Edgar Merckel | Dentist | 6093 Fulton St, Mayville, MI 48744 | 2006-08-31 |
1104208057 | Tamera Huntley | Counselor | 107 E Main St, Mayville, MI 48744 | 2015-06-26 |
1710052709 | Wingerts Inc | Pharmacy | 315 E Main St, Mayville, MI 48744 | 2006-11-22 |
1902956329 | Tartan Health Care Corp. | Skilled Nursing Facility | 521 W Ohmer Rd, Mayville, MI 48744-8612 | 2007-01-10 |
1588060495 | Kristen Lee Thomas | Occupational Therapist | 521 W Ohmer Rd, Mayville, MI 48744-8612 | 2014-11-05 |
1497754048 | Mayville Area Ambulance Service | Emergency Medical Technician, Basic | 5802 Lynch Dr, Mayville, MI 48744-8640 | 2005-07-16 |
1205458171 | Deborah Huber | Pharmacist | 315 E Main St, Mayville, MI 48744-9105 | 2020-05-13 |
1821506353 | Rhian Marcum | Behavioral Analyst | 690 E Murphy Lake Rd, Mayville, MI 48744-9322 | 2018-01-18 |
1487819801 | Lori Rowden | Physical Therapy Assistant | 592 E Murphy Lake Rd, Mayville, MI 48744-9322 | 2008-07-24 |
Find all providers in zip 48744 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1326681461 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14719 W Upright St, Charlevoix, MI 49720-1949 | 2019-10-22 |
1881254605 | Schoolcraft Memorial Hospital | Clinic/Center | W11650 Us Highway 2, Naubinway, MI 49762-5116 | 2019-06-14 |
1093370264 | Samaritan Health Care, PC | Clinic/Center | 4361 220th Ave, Reed City, MI 49677-8594 | 2019-05-03 |
1457916637 | Samaritan Health Care, PC | Clinic/Center | 5916 Us Highway 31 S, Charlevoix, MI 49720-9703 | 2019-05-03 |
1033621263 | Caro Community Hospital | Clinic/Center | 345 N State St, Caro, MI 48723-1537 | 2017-10-27 |
1275050726 | Hills & Dales General Hospital, Inc. | Clinic/Center | 130 Millwood Street, Caro, MI 48723-1630 | 2017-08-25 |
1275932329 | Sturgis Hospital, Inc. | Clinic/Center | 111 S Saint Joseph St, Colon, MI 49040-9342 | 2014-08-14 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.