Active NPI
Marquette General Hospital
- Prosthetic/Orthotic Supplier
- Escanaba, MI
National Provider Identifier
1467663153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0E21082 | Other | BLUE CROSS BLUE SHIELD OF MICHIGAN |
Other names 1
- Upper Peninsula Orthotics and Prosthetics
National Provider Directory
National Provider DirectoryLocations
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.