Organization Name: | NORTHERN MICHIGAN REGIONAL HOSPITAL |
NPI Number: | 1114288735 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHERINE MARIE DEVET (PRESIDENT, CEO) |
Mailing Address: | 6135 Cressy St Post Office Box 548 Indian River |
State: | MI US |
Postal Code: | 497495151 |
Phone Number: | 2312388908 |
Fax Number: | 2312384419 |
NPI Enumeration Date: | 05/30/2012 |
NPI Last Update Date: | 05/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |