NPIMap

Organization Active NPI

Marquette General Hospital, Inc.

Doing business as Marquette General Health System

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Marquette, MI
National Provider Identifier
1366518383
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
520050 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
Nov 28, 2006
Last updated
Apr 17, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
MARQUETTE GENERAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
Jerry L Worden, CPA
Title
Chief Financial Officer
Phone
(906) 225-3450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 520050 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 names 1

  • MARQUETTE GENERAL HEALTH SYSTEM Doing business as

National Provider Directory

National Provider Directory
Part of
Marquette General Hsop

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1366518383",
    "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": "2006-11-28",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "WORDEN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "906-225-3450",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "MI",
            "license": "520050",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 17, 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.