Active NPI
Marquette County Medical Care
- Skilled Nursing Facility
- Ishpeming, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1070000233
- Legal business name
- MARQUETTE COUNTY MEDICAL CARE
- Practice address
- 200 Saginaw Street
Ishpeming, MI 49849-2469 - Phone
- (906) 485-1061
- Fax
- (906) 485-4080
- NPI assigned
- Jun 30, 2005
- Last updated
- May 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jerome D. Hubbard
- Title
- Administrator
- Phone
- (906) 485-4887
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 528511 | MI | |
| Skilled Nursing Facility | 314000000X | 1070000233 | MI | Primary |
Addresses
Primary practice location
200 Saginaw Street
Ishpeming, MI 49849-2469
Mailing address
200 Saginaw Street
Ishpeming, MI 49849-2469
Phone (906) 485-1061
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09643 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1230573 | Medicaid | MI |
Other names 1
- Marquette County Medical Care Facility
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080303000622 | MI | Part A Provider - Skilled Nursing Facility | 2567546476 | Practice locations: Ishpeming, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1316944838. Details of each certification follow.
Skilled nursing facility certification: CCN 235321
- Legal name
- MARQUETTE COUNTY MEDICAL CARE
- Doing business as
- MARQUETTE COUNTY MEDICAL CARE FACILITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 1, 1978
- Last certification
- May 15, 2025
- Beds
- 140
- Ownership / control type
- City/County
- Organization structure
- Government
- Incorporated
- Jan 1, 1984 in MI
- Enrollment address
- 200 Saginaw St
Ishpeming, MI 49849-2469 - Nursing home name
- MARQUETTE COUNTY MEDICAL CARE FACILITY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Marquette County Medical Care Facility
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - City/county
- Certified
- May 1, 1978
- Medicare certification status
- Active
- Certified beds
- 140
National Provider Directory
National Provider Directory- Tax ID family
- Marquette County Health Department
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Surgical Family Planning Clinic/Center
- Negaunee, MI
- NPI 1629327424
-
- General Practice Dentistry
- Marquette, MI
- NPI 1922212901
Locations
200 Saginaw St
Ishpeming, MI 49849
Phone (906) 225-7709
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Marquette County Medical Care | Operational/Managerial Control | Oct 1, 2014 | |
| Denise Laverne Perry | Corporate Director | Sep 14, 2022 | 100% |
| Operational/Managerial Control | Sep 14, 2022 | 100% |
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Family Medicine Physician
- Ishpeming, MI
- NPI 1790846335
-
- Family Medicine Physician
- Gwinn, MI
- NPI 1043260995
-
- Family Medicine Physician
- Ishpeming, MI
- NPI 1851452403
-
- Occupational Therapist
- Ishpeming, MI
- NPI 1457176232
-
- Family Medicine Physician
- Ishpeming, MI
- NPI 1689735698
-
- Family Medicine Physician
- Marquette, MI
- NPI 1801416367
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432771200000",
"number": "1316944838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SAGINAW STREET",
"city": "ISHPEMING",
"state": "MI",
"postal_code": "498492469",
"telephone_number": "906-485-1061",
"fax_number": "906-485-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SAGINAW STREET",
"city": "ISHPEMING",
"state": "MI",
"postal_code": "498492469",
"telephone_number": "906-485-1061",
"fax_number": "906-485-4080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARQUETTE COUNTY MEDICAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-30",
"last_updated": "2015-05-28",
"status": "A",
"authorized_official_last_name": "HUBBARD",
"authorized_official_first_name": "JEROME",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "906-485-4887",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "528511",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "1070000233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "09643",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1230573",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Marquette County Medical Care Facility",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Ishpeming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.