BARAGA COUNTY MEMORIAL HOSPITAL (NPI# 1558479824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558479824 |
Entity Type | Organization |
Organization Name | BARAGA COUNTY MEMORIAL HOSPITAL |
Practice Address |
18341 Us Highway 41 Lanse MI 49946-8024 |
Mailing Address |
18341 Us Highway 41 L'anse MI 49946 |
Practice Telephone | 9065243300 |
Practice Fax Number | 9065243405 |
Mailing Telephone | 9065243300 |
Mailing Fax Number | 9055243405 |
Enumeration Date | 2006-08-28 |
Last Update Date | 2017-05-31 |
Authorized Official Name | MRS. MARQUERITE HALE (CEO) |
Authorized Official Telephone | 9065243300 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
070020 | MI | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BLUE CROSS | 00204 | 01 |
MI | BLUE CROSS NETWORK ID | P00204 | 01 |
MI | 5170086 | 05 | |
MI | 1555305 | 05 | |
MI | MEDICARE PART A | 231307 | 01 |
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 |
1487758595 | Baraga County Memorial Hospital | Pathology | 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 |
Street Address |
18341 US HIGHWAY 41 |
City | LANSE |
State | MI |
Zip Code | 49946-8024 |
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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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 |
Find all providers in zip 49946 |
Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982154365 | Detroit Medical Center | General Acute Care Hospital | 4713 Pond Run, Canton, MI 48188-2196 | 2016-10-10 |
1598147803 | St Joseph Mercy Oakland | General Acute Care Hospital | 874 Golf Dr Apt 101, Pontiac, MI 48341-2394 | 2015-06-23 |
1821415811 | Harbor Beach Community Hospital Inc | General Acute Care Hospital | 204 S Huron Ave, Harbor Beach, MI 48441 | 2014-03-27 |
1346590882 | Aspirus Ontonagon Hospital, Inc | General Acute Care Hospital | 601 S Seventh St, Ontonagon, MI 49953-1448 | 2012-09-12 |
1831454222 | Botsford Hospital | General Acute Care Hospital | 28050 Grand River Ave., Farmington Hills, MI 48336-5919 | 2012-07-11 |
1255611497 | Henryford Health System | General Acute Care Hospital | 34824 Birchgrove Dr, H, Sterling Heights, MI 48312-4744 | 2011-08-19 |
1992919336 | Francine Greenfield D.d.s., F.a.g.d.corp. | General Acute Care Hospital | 800 W Long Lake Rd, Suite #145, Bloomfield Hills, MI 48302-2056 | 2007-05-09 |
1770615668 | Pontiac Osteopathic Hospital | General Acute Care Hospital | 50 N Perry St., Pontiac, MI 48342-2253 | 2007-03-09 |
1275695850 | John Dingell Medical Center | General Acute Care Hospital | 14153 Warwick St, Detroit, MI 48223-2950 | 2006-12-14 |
1497820526 | Emergency Care Specialists PC | General Acute Care Hospital | 4100 Embassy Dr Se Ste 201, Grand Rapids, MI 49546-2416 | 2006-11-22 |
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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.