Baraga County Memorial Hospital
Organization Active NPI Emergency Medicine Physician · Lanse, MI
NPI 1508960600 · NPPES record last updated Oct 22, 2025
Key facts
- NPI
- 1508960600
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Rob Stowe
- Title
- Ceo
- Phone
- (906) 524-3300
Other NPIs on the same Medicare enrollment 2
Practitioners 73
-
Rashid Alsabeh, M.D.
-
Sharon Atwood, FNP-BC
-
Elizabeth Rose Benyi, D.O.
-
Matthew A Bowes, MD
-
Kayrissa Leigh Brewster, MSN, APRN,FNP-C
-
Patrick P Bulinski, M.D.
-
Mark D Cecilio, MD
-
Craig Cousineau, DO, MPH
-
Shannon Rae Dufek, PA-C
-
Scott M Hagle, M.D.
-
Todd V Ingram, M.D.
-
Eric Michael Johnson, M.D.
-
Jeffrey Alan Kreyer, M.D.
-
George Alan Krzymowski, M.D.
-
Shahar Madjar, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0Z71002 | Other | MI | BCBS GROUP ID # |
Other providers in Lanse, MI
- 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
- Baraga County Memorial Hospital
All providers in Lanse, MI · Emergency Medicine 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 Oct 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.