Organization Active NPI

Marquette General Hospital, Inc.

Doing business as Marquette General Behavorial Health

  • Psychiatry Physician
  • Marquette, MI
National Provider Identifier
1871734210
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MARQUETTE GENERAL HOSPITAL, INC.
Doing business as
Marquette General Behavorial Health
Practice address
580 W College Ave
Marquette, MI 49855-2705
Phone
(906) 225-3985
NPI assigned
Mar 16, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
A. Gary Muller
Title
Ceo
Phone
(906) 225-4774

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X MI
Psychiatry Physician 2084P0800X MI Primary

Addresses

Primary practice location

580 W College Ave
Marquette, MI 49855-2705

Mailing address

PO Box 220
Marquette, MI 49855-0220
Phone (906) 225-4821

Other identifiers 2

IdentifierTypeStateIssuer
0E26030OtherMIBCBS
0E26035OtherMIBCBS

Other names 1

  • Marquette General Behavorial Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marquette General Hsop13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871734210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498550220",
            "telephone_number": "906-225-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W COLLEGE AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552705",
            "telephone_number": "906-225-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUETTE GENERAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MULLER",
        "authorized_official_first_name": "A. GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "906-225-4774"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0E26030",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0E26035",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marquette General Behavorial Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.