Active NPI
Marlette Regional Hospital
- Nurse Practitioner
- Marlette, MI
National Provider Identifier
1700934767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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
- Jan 8, 2007
- Last updated
- Feb 25, 2008
- 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
- David S McEwen
- Title
- Ceo
- Phone
- (989) 635-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
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 names 1
- MRH Nurse Practitioner Group
National Provider Directory
National Provider DirectoryLocations
2770 Main St
Marlette, MI 48453
Phone (989) 635-4000
2112 E Ohmer Rd
Mayville, MI 48744
Phone (517) 843-5135
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Nurse Practitioner
- Marlette, MI
- NPI 1063594737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203897600000",
"number": "1700934767",
"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": "2007-01-08",
"last_updated": "2008-02-25",
"status": "A",
"authorized_official_last_name": "MCEWEN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "989-635-4000"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MRH Nurse Practitioner Group",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Marlette, MI
- Marlette Regional Hospital
- Marlette Regional Hospital
- Marlette Regional Hospital
- Marlette Regional Hospital
- Marlette Regional Hospital
- Marlette Regional Hospital (Aspire Angle Street Clinic)
- Marlette Regional Hospital
- Marlette Regional Hospital (Marlette Regional Hospital Pharmacy)
- Marlette Regional Hospital
- Marlette Regional Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.