1346333226 NPI number — COUNTY OF MARQUETTE

Table of content: (NPI 1346333226)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346333226 NPI number — COUNTY OF MARQUETTE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF MARQUETTE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346333226
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/14/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
184 US HIGHWAY 41 E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEGAUNEE
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49866-9606
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
906-475-9977
Provider Business Mailing Address Fax Number:
906-475-9312

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
184 US HIGHWAY 41 E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEGAUNEE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49866-9606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
906-475-9977
Provider Business Practice Location Address Fax Number:
906-475-9312
Provider Enumeration Date:
10/02/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BENZIE
Authorized Official First Name:
FRED
Authorized Official Middle Name:
J
Authorized Official Title or Position:
HEALTH OFFICER
Authorized Official Telephone Number:
906-315-2640

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 08-0E2-10840 . This is a "BCBSMEDICAL PROVIDER" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 775325081 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 235100662 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 775325107 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 772671990 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".