Baraga County Memorial Hospital
Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · Lanse, MI
NPI 1487758595 · NPPES record last updated Mar 28, 2014
Key facts
- NPI
- 1487758595
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 4301039795 (MI)
- Legal business name
- BARAGA COUNTY MEMORIAL HOSPITAL
- Practice address
- 18341 US Highway 41
Lanse, MI 49946-8024 - Phone
- (906) 524-3300
- Fax
- (906) 524-6218
- NPI assigned
- Sep 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Tim Zwickey, CEO
- Title
- Administrator
- Phone
- (906) 524-3321
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Baraga County Hospital
Locations
438 N Main St
Lanse, MI 49946
Phone (906) 524-4300
615 N Main St
Lanse, MI 49946
Phone (906) 524-6886
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | 4301039795 | MI | Yes |
Addresses
Primary practice location
18341 US Highway 41
Lanse, MI 49946-8024
Mailing address
18341 US Highway 41
Lanse, MI 49946-8024
Phone (906) 524-3300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0Z71002 | Other | MI | BCBS OF MICHIGAN GROUP |
Other names
- Pathologist
Other providers in Lanse, MI
- Align Chiropractic LLC
- Daeryl Dave Elgincolin Amponin
- Sharon Atwood
- Baraga County Extended Care Corporation
- Baraga County Memorial Hospital
- Baraga County Memorial Hospital
- Baraga County Memorial Hospital
- Baraga County Memorial Hospital
- Baraga County Memorial Hospital
- Baraga County Memorial Hospital
All providers in Lanse, MI · Anatomic Pathology & Clinical Pathology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.