DLP MARQUETTE PHYSICIAN PRACTICES INC (NPI# 1205184876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205184876 |
| Entity Type | Organization |
| Organization Name | DLP MARQUETTE PHYSICIAN PRACTICES INC |
| Other Organization Name | MARQUETTE GENERAL HOSPITAL FAMILY MEDICINE TRENARY |
| Practice Address |
E 2995 State Hwy M67 Trenary MI 49891-0125 |
| Mailing Address |
Po Box 125 Trenary MI 49891-0125 |
| Practice Telephone | 9064463336 |
| Practice Fax Number | 9064463468 |
| Mailing Telephone | 9064463336 |
| Mailing Fax Number | 9064463468 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-10-15 |
| Authorized Official Name | JESS N JUDY (PRESIDENT) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | Y |
| Parent Organization Name | DLP MARQUETTE PHYSICIAN PRACTICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Marquette General Hospital Family Medicine Trenary | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053667550 | Dlp Marquette Physician Practices Inc | Nurse Practitioner | 2002 Minneapolis Ave, Gladstone, MI 49837-2027 | 2012-08-02 |
| 1659711448 | Dlp Marquette Physician Practices Inc | Obstetrics & Gynecology | 1414 W Fair Ave, Ste 24, Marquette, MI 49855-2675 | 2013-06-26 |
| 1902157027 | Dlp Marquette Physician Practices Inc | Radiology | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-09-28 |
| 1215287362 | Dlp Marquette Physician Practices Inc | Clinical Neuropsychologist | 580 W College Ave, Marquette, MI 49855-2736 | 2012-09-17 |
| 1184972143 | Dlp Marquette Physician Practices Inc | Family Medicine | 800 East Blvd, Kingsford, MI 49802-4436 | 2012-08-23 |
| 1992053953 | Dlp Marquette Physician Practices Inc | Audiologist | 580 W College Ave, Marquette, MI 49855-2736 | 2012-08-23 |
| 1013265065 | Dlp Marquette Physician Practices Inc | Physical Medicine & Rehabilitation | 580 W College Ave, Marquette, MI 49855-2736 | 2012-08-23 |
| 1265780621 | Dlp Marquette Physician Practices Inc | Preventive Medicine | 1414 W Fair Ave, Ste 35, Marquette, MI 49855-2675 | 2012-08-16 |
| 1366790727 | Dlp Marquette Physician Practices Inc | Physician Assistant | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-08-16 |
| 1073861431 | Dlp Marquette Physician Practices Inc | Surgery | 1414 W Fair Ave, Ste 334, Marquette, MI 49855-2675 | 2012-08-16 |
| Street Address |
E 2995 STATE HWY M67 |
| City | TRENARY |
| State | MI |
| Zip Code | 49891-0125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518161330 | Marquette General Hospital, Inc. | Clinic/Center | M 67 Community Center Building, Trenary, MI 49892 | 2007-06-14 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518161330 | Marquette General Hospital, Inc. | Clinic/Center | M 67 Community Center Building, Trenary, MI 49892 | 2007-06-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.