Organization Active NPI

Marquette General Hospital

  • Prosthetic/Orthotic Supplier
  • Escanaba, MI
National Provider Identifier
1467663153
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MARQUETTE GENERAL HOSPITAL
Practice address
117 N 22ND St
Escanaba, MI 49829-2316
Phone
(906) 225-4718
Fax
(906) 225-4621
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Craig D Chartier
Title
Director of Home Health
Phone
(906) 225-4718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

117 N 22ND St
Escanaba, MI 49829-2316

Mailing address

580 W College Ave
Marquette, MI 49855-2705
Phone (906) 225-4718

Other identifiers 1

IdentifierTypeStateIssuer
0E21082OtherBLUE CROSS BLUE SHIELD OF MICHIGAN

Other names 1

  • Upper Peninsula Orthotics and Prosthetics Doing business as

National Provider Directory

National Provider Directory

Locations

117 N 22nd St
Escanaba, MI 49829
Phone (906) 225-4718

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1467663153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 W COLLEGE AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552705",
            "telephone_number": "906-225-4718",
            "fax_number": "906-225-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N 22ND ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498292316",
            "telephone_number": "906-225-4718",
            "fax_number": "906-225-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUETTE GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "CHARTIER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF HOME HEALTH",
        "authorized_official_telephone_number": "906-225-4718"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "0E21082",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Peninsula Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escanaba, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.