BARAGA COUNTY MEMORIAL HOSPITAL


Address: 18341 Us Highway 41, Lanse, MI 49946-8024
Phone: 9065243300

BARAGA COUNTY MEMORIAL HOSPITAL (NPI# 1487758595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487758595
Entity Type Organization
Organization Name BARAGA COUNTY MEMORIAL HOSPITAL
Other Organization Name PATHOLOGIST
Practice Address 18341 Us Highway 41
Lanse
MI 49946-8024
Practice Telephone 9065243300
Practice Fax Number 9065246218
Mailing Telephone 9065243300
Mailing Fax Number 9065246218
Enumeration Date 2006-09-11
Last Update Date 2014-03-28
Authorized Official Name MR. TIM ZWICKEY (ADMINISTRATOR)
Authorized Official Telephone 9065243321
Authorized Official Credential CEO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
4301039795 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBS OF MICHIGAN GROUP 0Z71002 01

Other Provider/Organization Names

Other Name Type Code
Pathologist Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932218807 Baraga County Memorial Hospital Home Health 510 Memorial St, Suite A, Lanse, MI 49946-1138 2006-08-30
1841555430 Baraga County Memorial Hospital Clinic/Center 18341 Us Highway 41, Lanse, MI 49946-8024 2012-07-10
1457459059 Baraga County Memorial Hospital Hospice Care, Community Based 510 Memorial St, Suite A, Lanse, MI 49946-1138 2006-09-20
1508960600 Baraga County Memorial Hospital Emergency Medicine 18341 Us Highway 41, Lanse, MI 49946-8024 2006-09-11
1700980968 Baraga County Memorial Hospital Family Medicine 18341 Us Highway 41, Lanse, MI 49946-8024 2006-09-11
1841394046 Baraga County Memorial Hospital Medicare Defined Swing Bed Unit 18341 Us Highway 41, Lanse, MI 49946-8024 2006-09-11
1770687931 Baraga County Memorial Hospital Durable Medical Equipment & Medical Supplies 510 Memorial St, Lanse, MI 49946-1138 2006-09-11
1851409643 Baraga County Memorial Hospital Family Medicine 18341 Us Highway 41, Lanse, MI 49946-8024 2006-08-29
1558479824 Baraga County Memorial Hospital General Acute Care Hospital 18341 Us Highway 41, Lanse, MI 49946-8024 2006-08-28

Office Location

Street Address 18341 US HIGHWAY 41
City LANSE
State MI
Zip Code 49946-8024

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669479390 Sharon L Gilliland Pediatrics 18341 Us Highway 41, Lanse, MI 49946-8024 2005-07-07
1952961567 Kevin Michael Johnson Nurse Practitioner 18341 Us Highway 41, Lanse, MI 49946-8024 2019-06-17
1982164844 Lisa Brown Pharmacist 18341 Us Highway 41, Lanse, MI 49946-8024 2019-03-25
1215491543 Trista Barron Occupational Therapist 18341 Us Highway 41, Lanse, MI 49946-8024 2019-01-31
1114409372 Katie Kolbus Speech-Language Pathologist 18341 Us Highway 41, Lanse, MI 49946-8024 2018-09-05
1144722265 Jeffrey S Dauphinais Nurse Practitioner 18341 Us Highway 41, Lanse, MI 49946-8024 2018-03-05
1932617404 Carter Hendricks Pharmacist 18341 Us Highway 41, Lanse, MI 49946-8024 2018-01-17
1356898415 Leanna Miller Nurse Practitioner 18341 Us Highway 41, Lanse, MI 49946-8024 2016-09-07
1992056824 Kimberly S. Hendrickson Counselor 18341 Us Highway 41, Lanse, MI 49946-8024 2012-10-02
1841555430 Baraga County Memorial Hospital Clinic/Center 18341 Us Highway 41, Lanse, MI 49946-8024 2012-07-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205251154 L'anse Family Dental, Pllc Dentist 12 S Fourth St, L'anse, MI 49946 2014-03-03
1427285295 Phyllis Alma Lee Registered Nurse 902 Boyer Street, L'anse, MI 49946 2009-06-18
1437350055 Anni Christina Gregor Social Worker 4 West Broad St, L'anse, MI 49946 2007-05-30
1699813030 T & P Inc Pharmacy 10 E Broad, Lanse, MI 49946 2007-02-01
1689731812 L'anse Pharmacy Inc. Pharmacy 18341 Us Hwy 41, L'anse, MI 49946 2007-01-03
1578522918 Ronald P D'agostino Jr. Family Medicine 108 W Eastern Ave, Lanse, MI 49946 2006-03-23
1740630326 Kristina B Welle Dentist 12 S 4th St, Lanse, MI 49946 2016-06-15
1902270135 Tonia Maria Truesdell Psychologist 118 N Main St, Lanse, MI 49946 2015-11-27
1134174204 Mark G Summersett Dentist 12 S. Fourth St., Lanse, MI 49946-0009 2006-05-24
1184017642 Baragaland Senior Citizens, Inc. Home Health 6 N Main St, Lanse, MI 49946-1024 2015-03-09
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093323966 Khairya Fatouh Pathology 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 2020-07-16
1942756234 Ahmed Alrajjal Pathology 459 Calvin Avenue, Grosse Pointe Farms, MI 48236-3236 2016-08-28
1649630435 Barry Dewitt Pathology 11345 Greenview Dr, Fenton, MI 48430-2591 2016-03-07
1922467919 Wilford E. Maldonado Pathology 4722 Huron Hill Dr, Okemos, MI 48864-2052 2016-02-18
1144636895 Ramya Gadde Pathology 2799 W.grand Boulevard,henry Ford Hospital, Detroit, MI 48202-2608 2014-07-02
1710329206 Yulei Shen Pathology 1546 Brentwood Dr, Troy, MI 48098-2713 2013-07-24
1437596046 John P Sherbeck Pathology 5305 East Huron River Drive, Ann Arbor, MI 48106 2013-05-23
1942552336 Kusum Kumar Pathology 3885 Highwood Pl, Okemos, MI 48864-3790 2012-10-09
1073864898 Karel Kithier Pathology 5022 Temple Drive, Sterling Heights, MI 48310-4067 2012-09-20
1306191085 Nathan Stepanek Shaller Pathology 1301 Catherine Street, Ann Arbor, MI 48109-5602 2012-07-18
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Competitor

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City LANSE
Zip Code 49946

Improve Information

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Dataset Information

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.

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