NPIMap

Organization Active NPI

Marquette General Hospital, Inc.

Doing business as Marquette General Health System

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Marquette, MI
National Provider Identifier
1174647564
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
License
520006 Issued in MI
Legal business name
MARQUETTE GENERAL HOSPITAL, INC.
Doing business as
Marquette General Health System
Practice address
420 W Magnetic St
Marquette, MI 49855-2711
Phone
(906) 228-9440
Fax
(906) 225-3094
NPI assigned
Mar 19, 2007
Organization subpart
Yes
Parent organization
MARQUETTE GENERAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Authorized official

Name
Mr. Jerry L Worden, CPA
Title
Cfo
Phone
(906) 225-3450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X 520006 MI Primary

Addresses

Primary practice location

420 W Magnetic St
Marquette, MI 49855-2711

Mailing address

420 W Magnetic St
Marquette, MI 49855-2711
Phone (906) 228-9440

Other identifiers 1

IdentifierTypeStateIssuer
20002OtherMIBCBSM BHS UNIT

Other names 1

  • Marquette General Health System Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marquette General Hsop13 organizations share this tax ID, including this one
Part of
Marquette General Hsop

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1174647564",
    "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": "906-228-9440",
            "fax_number": "906-225-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MAGNETIC ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552711",
            "telephone_number": "906-228-9440",
            "fax_number": "906-225-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUETTE GENERAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARQUETTE GENERAL HOSPITAL, INC.",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "WORDEN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "906-225-3450",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "MI",
            "license": "520006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM BHS UNIT",
            "identifier": "20002",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marquette General Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.