NPIMap

Organization Active NPI

Marlette Regional Hospital

  • Emergency Medicine Physician
  • Marlette, MI
National Provider Identifier
1598840498
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MARLETTE REGIONAL HOSPITAL
Practice address
2770 Main St
Marlette, MI 48453-1141
Phone
(989) 635-4000
Fax
(989) 635-4056
NPI assigned
Oct 26, 2006
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Kim Gentner Babcock
Title
Cfo
Phone
(989) 635-4403

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Emergency Medicine Physician 207P00000X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

2770 Main St
Marlette, MI 48453-1141

Mailing address

2770 Main St
PO Box 307
Marlette, MI 48453-1141
Phone (989) 635-4000

Other identifiers 2

IdentifierTypeStateIssuer
0G66003OtherMIBLUE CROSS/SHIELD
0994580OtherMIHEALTHPLUS

Other names 2

  • Marlette Regional Professional Group Other name
  • Marlette Regional Room Doctor Group Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040225000161 MI Part B Supplier - Clinic/Group Practice 3971408121 Receives reassigned benefits from 57 practitioners
Practice locations: Marlette, MI

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

2750 Main St
Ste 1
Marlette, MI 48453
Phone (989) 635-3295

Practitioners & affiliated clinicians

Practitioners 81

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 81

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1598840498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 MAIN ST",
            "address_2": "PO BOX 307",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531141",
            "telephone_number": "989-635-4000",
            "fax_number": "989-635-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 MAIN ST",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531141",
            "telephone_number": "989-635-4000",
            "fax_number": "989-635-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLETTE REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "GENTNER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "989-635-4403"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "0G66003",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "0994580",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marlette Regional Professional Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Marlette Regional Room Doctor Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marlette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.