NPIMap

Organization Active NPI

Baraga County Memorial Hospital

  • Emergency Medicine Physician
  • L'Anse, MI
National Provider Identifier
1508960600
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
BARAGA COUNTY MEMORIAL HOSPITAL
Practice address
18341 US Highway 41
Lanse, MI 49946-8024
Phone
(906) 524-3300
Fax
(906) 524-3405
NPI assigned
Sep 11, 2006
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Mrs. Rob Stowe
Title
Ceo
Phone
(906) 524-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary
Diagnostic Radiology Physician 2085R0202X

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 1

IdentifierTypeStateIssuer
0Z71002OtherMIBCBS GROUP ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040826000560 MI Part B Supplier - Clinic/Group Practice 7416866611 Receives reassigned benefits from 73 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lanse, MI

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 67

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.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1508960600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18341 US HIGHWAY 41",
            "city": "LANSE",
            "state": "MI",
            "postal_code": "499468024",
            "telephone_number": "906-524-3300",
            "fax_number": "905-524-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18341 US HIGHWAY 41",
            "city": "LANSE",
            "state": "MI",
            "postal_code": "499468024",
            "telephone_number": "906-524-3300",
            "fax_number": "906-524-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARAGA COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "STOWE",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "906-524-3300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID #",
            "identifier": "0Z71002",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in L'Anse, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.