MARLETTE REGIONAL HOSPITAL (NPI# 1376695205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376695205 |
| Entity Type | Organization |
| Organization Name | MARLETTE REGIONAL HOSPITAL |
| Other Organization Name | FAMILY HEALTHCARE OF BROWN CITY |
| Practice Address |
4472 Main St Brown City MI 48416-7908 |
| Practice Telephone | 8103462751 |
| Practice Fax Number | 8103463238 |
| Mailing Telephone | 8103462751 |
| Mailing Fax Number | 8103463238 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2017-09-21 |
| Authorized Official Name | DR. DANIEL KULICK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8103462751 |
| 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 | 010G664991 | 01 |
| MI | 2862561 | 05 |
| Other Name | Type Code |
|---|---|
| Family Healthcare of Brown City | 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 |
| 1073665279 | Marlette Regional Hospital | Clinic/Center | 2180 E Ohmer Rd, Mayville, MI 48744-9501 | 2007-01-17 |
| 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 |
4472 MAIN ST |
| City | BROWN CITY |
| State | MI |
| Zip Code | 48416-7908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891755104 | Kimberly L Verellen | Physician Assistant | 4472 Main St, Brown City, MI 48416-7908 | 2006-03-23 |
| 1740686534 | Margaret M Marth | Nurse Practitioner | 4472 Main St, Brown City, MI 48416-7908 | 2014-11-06 |
| 1720206600 | Daniel Timothy Kulick | Family Medicine | 4472 Main St, Brown City, MI 48416-7908 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245519602 | Mehgan Krick | Physical Therapist | 4217 Main St, Brown City, MI 48416 | 2011-08-16 |
| 1427136902 | Professional Rehab Services Inc. | Physical Therapist | 4233 Main Street, Brown City, MI 48416 | 2006-11-01 |
| 1700802030 | Ehardt's Pharmacy Inc. | Pharmacy | 4436 Main St., Brown City, MI 48416 | 2006-07-13 |
| 1548523848 | Ryan Scott Banks | Chiropractor | 4444 Main St, Brown City, MI 48416 | 2012-06-21 |
| 1033632906 | Corporate Concierge Health & Wellness, LLC | Clinic/Center | 4217 Main St, Brown City, MI 48416-7715 | 2017-07-21 |
| 1457961773 | Kimberley Pauline Rhode | Nurse Practitioner | 4219 1st St, Brown City, MI 48416-7716 | 2020-08-01 |
| 1265966675 | Andrea Ferguson | Behavior Technician | 7085 Lincoln St, Brown City, MI 48416-7916 | 2017-04-12 |
| 1689703357 | Kelly Jo Pavel | Counselor | 6949 Cade Rd, Brown City, MI 48416-9165 | 2007-03-05 |
| 1144769266 | Kayla Parr | Assistant Behavior Analyst | 15318 Jeddo Rd, Brown City, MI 48416-9510 | 2017-02-22 |
| 1043772353 | Taylor A Wood | Physical Therapy Assistant | 6615 Linck Rd, Brown City, MI 48416-9672 | 2019-04-04 |
| Find all providers in zip 48416 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598386427 | Mclaren Central Michigan | Clinic/Center | 7115 Cade Rd, Brown City, MI 48416-9778 | 2020-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487274940 | Mclaren Central Michigan | Clinic/Center | 2853 Health Pkwy, Mt Pleasant, MI 48858-9374 | 2020-04-24 |
| 1821618687 | Mclaren Central Michigan | Clinic/Center | 3520 N Woodruff Rd, Weidman, MI 48893-7734 | 2020-04-22 |
| 1932747946 | Mckenzie Memorial Hospital | Clinic/Center | 170 W Argyle Street, Sandusky, MI 48471 | 2019-12-20 |
| 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 | ||||
| City | BROWN CITY |
| Zip Code | 48416 |
Please comment or provide details below to improve the information on MARLETTE REGIONAL HOSPITAL.
| 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.