| Organization Name: | ASPIRUS KEWEENAW |
| NPI Number: | 1205998713 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHANE M JACQUES (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 205 Osceola Street Laurium |
| State: | MI US |
| Postal Code: | 499132134 |
| Phone Number: | 9063376580 |
| Fax Number: | 9063376562 |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 06/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 238551 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |