NPIMap

Organization Active NPI

Baraga County Memorial Hospital

  • Family Medicine Physician
  • Lanse, MI
National Provider Identifier
1851409643
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BARAGA COUNTY MEMORIAL HOSPITAL
Practice address
18341 US Highway 41
Lanse, MI 49946-8024
Phone
(906) 524-6118
Fax
(906) 524-6218
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Mrs. Margie Hale
Title
Ceo
Phone
(906) 524-3320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MI 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 identifiers 3

IdentifierTypeStateIssuer
0Z71004OtherMIBCBS OF MI GROUP
1841555430OtherMIMEDICAID RHC NUMBER
268646OtherMIRHC MEDICARE NUMBER

Other names 1

  • BCMH Physician Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

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
Practice locations: Lanse, MI
O20111212000750 MI Part A Provider - Rural Health Clinic 7416866611 Practice locations: Lanse, MI

Rural health clinic certification: CCN 238646

Legal name
BARAGA COUNTY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 18, 2012
Last certification
Dec 3, 2025
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Enrollment address
18341 US Highway 41
Lanse, MI 49946-8024
Related CCNs
231307

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

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

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

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shirley Younggren Individual Corporate DirectorBoard Member Mar 7, 2005
Thomas Van Ess Individual W-2 Managing EmployeeManager Aug 1, 2016 100%
Lancaster Pollard Mortgage Company Organization, Columbus, OH Financial institution 5% Or Greater Mortgage Interest Jan 22, 2011 70.1%
Cathy Wadaga Individual Corporate OfficerTreasurer Nov 19, 2012
Cathryn Beer Individual Corporate Officer Aug 5, 2021
James Loman Individual Corporate OfficerSecretary Nov 19, 2012
Todd V Ingram Individual Corporate Director Jul 1, 2019
Robert Stowe Individual Corporate Director Apr 13, 2021
Burt Mason Individual Corporate Officer Mar 14, 2023
Carole L Lapointe Individual Corporate DirectorBoard Member Jan 1, 2011

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bayside VillageLanse, MI, CCN 235144 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Mortgage Interest (57.15%)		 Sep 6, 1995
Jan 18, 2010
Baraga County Home Care and HospiceLanse, MI, CCN 237420 Home health agency Other Aug 10, 1988
Baraga County Home Care & HospiceLanse, MI, CCN 231586 Hospice Operational/Managerial Control Mar 14, 1988

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 76

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 76

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1851409643",
    "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": "906-524-6218"
        },
        {
            "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": "906-524-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARAGA COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "906-524-3320",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI GROUP",
            "identifier": "0Z71004",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID RHC NUMBER",
            "identifier": "1841555430",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC MEDICARE NUMBER",
            "identifier": "268646",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BCMH Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lanse, MI

Sources for this page

Verify at the official NPI Registry.