NPIMap

Organization Active NPI

Marqutte Genera Hospital

  • Certified Registered Nurse Anesthetist
  • Saginaw, MI
National Provider Identifier
1144525213
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704247120 Issued in MI
Legal business name
MARQUTTE GENERA HOSPITAL
Practice address
3139 Revere Dr
Saginaw, MI 48603-1642
Phone
(989) 332-6020
Fax
(989) 791-2007
NPI assigned
Jan 20, 2011
Last updated
Jan 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jerry L Warden Sr.
Title
VP/Cfo
Phone
(906) 228-9440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704247120 MI Primary

Addresses

Primary practice location

3139 Revere Dr
Saginaw, MI 48603-1642

Mailing address

420 W Magnetic St
Marquette, MI 49855-2711
Phone (906) 225-3595

National Provider Directory

National Provider Directory
Tax ID family
Rohit Sud MD13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1144525213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W MAGNETIC ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552711",
            "telephone_number": "906-225-3595",
            "fax_number": "877-775-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3139 REVERE DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486031642",
            "telephone_number": "989-332-6020",
            "fax_number": "989-791-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUTTE GENERA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "WARDEN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "906-228-9440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704247120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.