Provider Demographics
NPI:1518161330
Name:MARQUETTE GENERAL HOSPITAL, INC.
Entity Type:Organization
Organization Name:MARQUETTE GENERAL HOSPITAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:GARY
Authorized Official - Last Name:MULLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:906-225-4774
Mailing Address - Street 1:4602 DEPT
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60122-0021
Mailing Address - Country:US
Mailing Address - Phone:906-446-3336
Mailing Address - Fax:906-446-3468
Practice Address - Street 1:M 67 COMMUNITY CENTER BUILDING
Practice Address - Street 2:
Practice Address - City:TRENARY
Practice Address - State:MI
Practice Address - Zip Code:49892
Practice Address - Country:US
Practice Address - Phone:906-446-3336
Practice Address - Fax:906-446-3468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MICA1145OtherRAILROAD MEDICARE
MIC31351OtherRAILROAD MEDICARE
MICA7453OtherRAILROAD MEDICARE
MICI0319OtherRAILROAD MEDICARE
MICN8789OtherRAILROAD MEDICARE
MI0E26000OtherBCBSM GROUP
MICA1145OtherRAILROAD MEDICARE
MICI0319OtherRAILROAD MEDICARE
MICA1145OtherRAILROAD MEDICARE