LUCE-MACKINAC HEALTH DEPARTMENT NPI 1700915709

NPI Information

NPI: 1700915709
Provider Name: LUCE-MACKINAC HEALTH DEPARTMENT
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
14150 HAMILTON LAKE ROAD
NEWBERRY, MI
ZIP 49868
Phone: (906) 293-5107
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LUCE-MACKINAC HEALTH DEPARTMENT is a hospice care community based in Newberry, MI. LUCE-MACKINAC HEALTH DEPARTMENT NPI is 1700915709. The provider is registered as an organization entity type.

The provider's business location address is:

14150 HAMILTON LAKE ROAD
NEWBERRY, MI
ZIP 49868
Phone: (906) 293-5107

The provider's authorized official is Marvin H Henderson .
The authorized official title is Administrator and has the following contact phone number (906) 293-5107.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 12/6/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2823509	MEDICAID	MICHIGAN
2	231545	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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