Organization Name: | ASPIRUS KEWEENAW |
NPI Number: | 1326115569 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHANE M JAQUES (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 205 Osceola Street Laurium |
State: | MI US |
Postal Code: | 499132134 |
Phone Number: | 9063376500 |
Fax Number: | 9063376597 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 09/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 231319 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |