DLP MARQUETTE GENERAL HOSPITAL LLC (NPI# 1174871305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174871305 |
| Entity Type | Organization |
| Organization Name | DLP MARQUETTE GENERAL HOSPITAL LLC |
| Other Organization Name | MARQUETTE GENERAL HOSPITAL |
| Practice Address |
420 W Magnetic St Marquette MI 49855-2700 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 9062289440 |
| Practice Fax Number | 9062253094 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2014-10-27 |
| Authorized Official Name | JEFFREY G. SERAPHINE (PRESIDENT) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Marquette General Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811382641 | Dlp Marquette General Hospital LLC | General Acute Care Hospital | 420 W Magnetic St, Marquette, MI 49855-2700 | 2015-03-30 |
| 1841541695 | Dlp Marquette General Hospital LLC | Nurse Anesthetist, Certified Registered | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2012-09-19 |
| 1356699573 | Dlp Marquette General Hospital LLC | Ambulance | 828 Sheridan Rd, Escanaba, MI 49829-1531 | 2012-08-20 |
| 1972850832 | Dlp Marquette General Hospital LLC | Prosthetic/Orthotic Supplier | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2012-08-10 |
| 1275880171 | Dlp Marquette General Hospital LLC | Pharmacy | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2012-08-09 |
| 1699022665 | Dlp Marquette General Hospital LLC | Pharmacy | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2012-08-09 |
| 1699022590 | Dlp Marquette General Hospital LLC | Hearing Aid Equipment | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-08-09 |
| 1134474737 | Dlp Marquette General Hospital LLC | Rehabilitation Unit | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2012-07-19 |
| 1699020289 | Dlp Marquette General Hospital LLC | Psychiatric Unit | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2012-07-19 |
| 1902151640 | Dlp Marquette General Hospital LLC | Home Health | 580 W College Ave, Marquette, MI 49855-2736 | 2012-07-18 |
| Street Address |
420 W MAGNETIC ST |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959750 | Marquette General Hospital, Inc. | General Acute Care Hospital | 420 W Magnetic St, Marquette, MI 49855-2711 | 2005-06-01 |
| 1811382641 | Dlp Marquette General Hospital LLC | General Acute Care Hospital | 420 W Magnetic St, Marquette, MI 49855-2700 | 2015-03-30 |
| 1720429566 | Carol Buentello | Nurse Practitioner | 420 W Magnetic St, Marquette, MI 49855-2700 | 2013-07-09 |
| 1902157027 | Dlp Marquette Physician Practices Inc | Radiology | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-09-28 |
| 1366790727 | Dlp Marquette Physician Practices Inc | Physician Assistant | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-08-16 |
| 1699022590 | Dlp Marquette General Hospital LLC | Hearing Aid Equipment | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-08-09 |
| 1942505268 | Marquette General Hospital | Nurse Anesthetist, Certified Registered | 420 W Magnetic St, Marquette, MI 49855-2711 | 2011-01-18 |
| 1598078933 | Marquette General Health Systems | General Acute Care Hospital | 420 W Magnetic St, Marquette, MI 49855-2711 | 2010-07-14 |
| 1164746475 | Tricia Leigh Tollenaar | Nurse Anesthetist, Certified Registered | 420 W Magnetic St, Anesthesia Dept., Marquette, MI 49855-2711 | 2010-03-16 |
| 1174845374 | Jeremy Joseph Lafave | Nurse Anesthetist, Certified Registered | 420 W Magnetic St, Anesthesia Department, Marquette, MI 49855-2711 | 2010-02-16 |
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| 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 |
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| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174647564 | Marquette General Hospital, Inc. | Rehabilitation, Substance Use Disorder Unit | 420 W Magnetic St, Marquette, MI 49855-2711 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821311341 | Peer Choices, Inc. | Rehabilitation, Substance Use Disorder Unit | 255 N Telegraph Rd Ste 206, Waterford, MI 48328-3355 | 2010-03-11 |
| 1174720080 | St Joseph Mercy Hospital | Rehabilitation, Substance Use Disorder Unit | 5401 Mcauley Drive, Ypsilanti, MI 48197-1011 | 2007-07-03 |
| 1235749219 | Joel Darnell Dewberry | Rehabilitation, Substance Use Disorder Unit | 20102 Harper Ave, Harper Woods, MI 48225-1712 | 2020-08-05 |
| 1417570128 | Sheridan Community Hospital | Rehabilitation, Substance Use Disorder Unit | 301 N Main St, Sheridan, MI 48884-9235 | 2020-05-28 |
| 1417589086 | Black Rock Recovery, LLC | Rehabilitation, Substance Use Disorder Unit | 25235 Orchard Lake Rd, Farmington Hills, MI 48336-1233 | 2020-02-11 |
| 1053722280 | Eagle Advancement Institute | Rehabilitation, Substance Use Disorder Unit | 7091 Orchard Lake Rd, Suite 200, West Bloomfield, MI 48322-3654 | 2014-05-09 |
| 1932363454 | Munson Medical Center | Rehabilitation, Substance Use Disorder Unit | 1105 6th St, Traverse City, MI 49684-2345 | 2008-07-14 |
| 1487817680 | Alpena Regional Medical Center-bhs | Rehabilitation, Substance Use Disorder Unit | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2008-07-08 |
| 1598949794 | Healthsource Saginaw Inc | Rehabilitation, Substance Use Disorder Unit | 3340 Hospital Rd, Saginaw, MI 48603-9622 | 2007-12-24 |
| 1578745691 | Healthsource Saginaw Inc | Rehabilitation, Substance Use Disorder Unit | 3340 Hospital Rd, Saginaw, MI 48603-9622 | 2007-11-30 |
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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.