NPIMap

Organization Active NPI

Schoolcraft Memorial Hospital

  • Institutional Pharmacy
  • Manistique, MI
National Provider Identifier
1740323336
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
5301000848 Issued in MI
Legal business name
SCHOOLCRAFT MEMORIAL HOSPITAL
Practice address
7870W US Highway 2
Manistique, MI 49854-8992
Phone
(906) 341-3234
Fax
(906) 341-3298
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Andy Bertepelle
Title
Ceo
Phone
(906) 341-3221

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X
Institutional Pharmacy 3336I0012X 5301000848 MI Primary

Addresses

Primary practice location

7870W US Highway 2
Manistique, MI 49854-8992

Mailing address

7870W US Highway 2
Manistique, MI 49854-8992
Phone (906) 341-3234

Other identifiers 1

IdentifierTypeStateIssuer
2325202OtherMIBLUE CROSS BLUE SHIELD MI

Other names 1

  • Memorial Hospital Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nathan B Eliason MD6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1740323336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7870W US HIGHWAY 2",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498548992",
            "telephone_number": "906-341-3234",
            "fax_number": "906-341-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7870W US HIGHWAY 2",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498548992",
            "telephone_number": "906-341-3234",
            "fax_number": "906-341-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOLCRAFT MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "BERTEPELLE",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "906-341-3221"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "MI",
            "license": "5301000848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "2325202",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hospital Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manistique, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.