| Organization Name: | HURON MEMORIAL HOSPITAL |
| NPI Number: | 1083772826 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFF LONGBRAKE (CFO) |
| Mailing Address: | 1100 S Van Dyke Rd Bad Axe |
| State: | MI US |
| Postal Code: | 484139615 |
| Phone Number: | 9892699521 |
| Fax Number: | 9892695260 |
| NPI Enumeration Date: | 12/05/2006 |
| NPI Last Update Date: | 02/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | RD002414 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |