| Marlette Regional Hospital | |
|
2180 E Ohmer Rd Mayville MI 48744-9501 | |
| (989) 843-5135 | |
| (989) 843-5121 |
| Full Name | Marlette Regional Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 2180 E Ohmer Rd, Mayville, Michigan |
| Authorized Official Name and Position | Maria Livieratos (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9898435135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marlette Regional Hospital 2180 E Ohmer Rd Mayville MI 48744-9501 Ph: (989) 843-5135 | Marlette Regional Hospital 2180 E Ohmer Rd Mayville MI 48744-9501 Ph: (989) 843-5135 |
| NPI Number | 1073665279 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 09/21/2017 |
| Medicare PECOS PAC ID | 3971408121 |
|---|---|
| Medicare Enrollment ID | O20090701000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073665279 | NPI | - | NPPES |
| 080G910110 | Other | MI | BCBSM |
| 4266253 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | MO009325 (Michigan) | Primary |