Organization Name: | HURON MEMORIAL HOSPITAL |
NPI Number: | 1437405172 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARRIE L FRANZEL (DIRECTOR OF CREDENTIALING) |
Mailing Address: | 1040 S Van Dyke Rd Bad Axe |
State: | MI US |
Postal Code: | 484139602 |
Phone Number: | 9892699521 |
Fax Number: | 9892695260 |
NPI Enumeration Date: | 07/31/2012 |
NPI Last Update Date: | 10/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 1060000058 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |