Provider Demographics
NPI:1831331412
Name:NORTH BRANCH HEALTHCARE
Entity type:Organization
Organization Name:NORTH BRANCH HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:RORAFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-635-4000
Mailing Address - Street 1:2770 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARLETTE
Mailing Address - State:MI
Mailing Address - Zip Code:48453-1141
Mailing Address - Country:US
Mailing Address - Phone:989-635-4000
Mailing Address - Fax:
Practice Address - Street 1:4000 HURON ST
Practice Address - Street 2:
Practice Address - City:NORTH BRANCH
Practice Address - State:MI
Practice Address - Zip Code:48461-8664
Practice Address - Country:US
Practice Address - Phone:810-688-3048
Practice Address - Fax:810-688-2640
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARLETTE REGIONAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access