LEELANAU MEMORIAL HEALTH CENTER NPI 1528064466

NPI Information

NPI: 1528064466
Provider Name: LEELANAU MEMORIAL HEALTH CENTER
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 23D1047037

Address:
215 HIGH ST
NORTHPORT, MI
ZIP 49670
Phone: (231) 935-6181
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LEELANAU MEMORIAL HEALTH CENTER is a critical access general acute care hospital in Northport, MI. LEELANAU MEMORIAL HEALTH CENTER NPI is 1528064466. The provider is registered as an organization entity type.

The provider's business location address is:

215 HIGH ST
NORTHPORT, MI
ZIP 49670
Phone: (231) 935-6181
Fax: (231) 935-7952

The provider's authorized official is Kathrine Garthe .
The authorized official title is Administrator and has the following contact phone number (231) 935-6181.

The CLIA number assigned to this NPI record is 23D1047037 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2005 and was last updated on 7/21/2022.

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 State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	MICHIGAN	Yes
2	282N00000X	General Acute Care Hospital		MICHIGAN	X
3	314000000X	Skilled Nursing Facility		MICHIGAN	X
4	313M00000X	Nursing Facility/Intermediate Care Facility		MICHIGAN	X
5	275N00000X	Medicare Defined Swing Bed Unit		MICHIGAN	X

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	09759	OTHER	MICHIGAN	BLUE CROSS LTC SECONDARY
2	1562631	MEDICAID	MICHIGAN
3	5171092	MEDICAID	MICHIGAN
4	00167	OTHER	MICHIGAN	BLUE CROSS FACILITY
5	2000411	MEDICAID	MICHIGAN
6	15167	OTHER	MICHIGAN	BLUE CROSS LTC PRIMARY

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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