| 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 |