MARQUETTE GENERAL HOSPITAL, INC. (NPI# 1114094968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114094968 |
| Entity Type | Organization |
| Organization Name | MARQUETTE GENERAL HOSPITAL, INC. |
| Other Organization Name | MARQUETTE GENERAL HEALTH SYSTEM |
| Practice Address |
580 W College Ave Marquette MI 49855-2705 |
| Mailing Address |
Po Box 640 Marquette MI 49855-0640 |
| Practice Telephone | 9062289440 |
| Practice Fax Number | 9062253094 |
| Mailing Telephone | 9062289440 |
| Mailing Fax Number | 9062253094 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL J BECKSTROM (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9062253450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
520050 | MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MARQUETTE GENERAL HEALTH SYSTEM | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518161330 | Marquette General Hospital, Inc. | Clinic/Center | M 67 Community Center Building, Trenary, MI 49892 | 2007-06-14 |
| 1336163799 | Marquette General Hospital, Inc. | Internal Medicine | 2420 1st Ave S, Escanaba, MI 49829-1309 | 2006-07-27 |
| 1508820259 | Marquette General Hospital, Inc. | Internal Medicine | 510 Ashmun St, Sault Sainte Marie, MI 49783-1964 | 2006-04-12 |
| 1417959750 | Marquette General Hospital, Inc. | General Acute Care Hospital | 420 W Magnetic St, Marquette, MI 49855-2711 | 2005-06-01 |
| 1891065470 | Marquette General Hospital, Inc. | Family Medicine | 800 East Blvd, Kingsford, MI 49802-4436 | 2012-01-12 |
| 1427383009 | Marquette General Hospital, Inc. | Radiology | 580 W College Ave, Marquette, MI 49855-2705 | 2009-10-15 |
| 1912132473 | Marquette General Hospital, Inc. | Clinical Medical Laboratory | 420 W Magnetic St, Marquette, MI 49855-2711 | 2009-05-27 |
| 1871734210 | Marquette General Hospital, Inc. | Psychologist | 580 W College Ave, Marquette, MI 49855-2705 | 2009-03-16 |
| 1639332455 | Marquette General Hospital, Inc. | Nurse Anesthetist, Certified Registered | 580 W College Ave, Marquette, MI 49855-2705 | 2008-07-02 |
| 1497913248 | Marquette General Hospital, Inc. | Nurse Practitioner | 1150 W Washington St, Marquette, MI 49855-4040 | 2008-05-29 |
| Street Address |
580 W COLLEGE AVE |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196401 | Constance G Arnold | Surgery | 580 W College Ave, Marquette, MI 49855-2705 | 2005-06-28 |
| 1427611870 | Douglas Kozeluh | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2019-04-20 |
| 1568931921 | Bryan Francis Harris | Nurse Practitioner | 580 W College Ave, Marquette, MI 49855-2736 | 2018-11-15 |
| 1386130169 | Melinda Sue Dehority | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2018-07-05 |
| 1164943007 | Imaging Associates of Michigan Pllc | Radiology | 580 W College Ave, Marquette, MI 49855-2736 | 2017-06-30 |
| 1912443839 | Michael Charles Rondeau | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2017-01-17 |
| 1023551074 | Christina Deanna Selent | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2016-11-23 |
| 1033651534 | Kevin Mcdowell | Psychologist | 580 W College Ave, Marquette, MI 49855-2736 | 2016-11-15 |
| 1871049957 | James Christensen | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2016-08-29 |
| 1275087280 | Stacie Powers | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2016-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710262340 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 1009 Harbor Hills Dr, Marquette, MI 49855 | 2011-10-14 |
| 1205903051 | Marquette General Hospital, Inc. | Clinic/Center | 580 W College Ave, Marquette, MI 49855-2705 | 2006-11-29 |
| 1366518383 | Marquette General Hospital, Inc. | Clinic/Center | 420 W Magnetic St, Marquette, MI 49855-2711 | 2006-11-28 |
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| 1487123600 | Concerto Michigan LLC | Clinic/Center | 14700 Farmington Rd Ste 108, Livonia, MI 48154-5462 | 2018-11-16 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1851886592 | Fms Rochester Hills, LLC | Clinic/Center | 26400 W 12 Mile Rd Ste 112, Southfield, MI 48034-1785 | 2018-06-26 |
| 1801399753 | Kasaskia Dialysis LLC | Clinic/Center | 18001 E 10 Mile Rd Ste B, Roseville, MI 48066-3803 | 2018-03-16 |
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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.