NPIMap

Organization Active NPI

Baraga County Memorial Hospital

Doing business as BCMH Physician Group

  • Family Medicine Physician
  • L'Anse, MI
National Provider Identifier
1700980968
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BARAGA COUNTY MEMORIAL HOSPITAL
Doing business as
BCMH Physician Group
Practice address
18341 US Highway 41
Lanse, MI 49946-8024
Phone
(906) 524-6118
Fax
(906) 524-5126
NPI assigned
Sep 11, 2006
Last updated
Aug 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Mr. Tim Zwickey
Title
Ceo
Phone
(906) 524-3321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

18341 US Highway 41
Lanse, MI 49946-8024

Mailing address

18341 US Highway 41
Lanse, MI 49946-8024
Phone (906) 524-6118

Other names 1

  • BCMH Physician Group Doing business as

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.

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": "1313452800000",
    "number": "1700980968",
    "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": "906-524-6118",
            "fax_number": "906-524-5126"
        },
        {
            "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": "906-524-6118",
            "fax_number": "906-524-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARAGA COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "ZWICKEY",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "906-524-3321",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BCMH Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 16, 2011; 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.