CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL, INC.


Address: 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822
Phone: 9066354460

CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL, INC. (NPI# 1639190382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639190382
Entity Type Organization
Organization Name CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL, INC.
Other Organization Name WMH ER PROFESSIONAL SERVICES
Practice Address 500 Osborn Blvd
Sault Sainte Marie
MI 49783-1822
Practice Telephone 9066354460
Mailing Telephone 9066354460
Enumeration Date 2006-07-21
Last Update Date 2012-11-12
Authorized Official Name KEVIN KALCHIK (CFO)
Authorized Official Telephone 9066354456
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
170020 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBSMI MD GROUP # 700A710540 01
MI BCBSMI NP GROUP # 500A710570 01

Other Provider/Organization Names

Other Name Type Code
WMH ER Professional Services Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629260203 Chippewa County War Memorial Hospital, Inc. Psychiatric Unit 16523 S Water Tower Dr, Kincheloe, MI 49788-1592 2007-08-16
1881751386 Chippewa County War Memorial Hospital, Inc. Medicare Defined Swing Bed Unit 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 2007-01-03
1346307931 Chippewa County War Memorial Hospital, Inc. Skilled Nursing Facility 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 2007-01-02
1457305674 Chippewa County War Memorial Hospital, Inc. Anesthesiology 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 2006-05-20

Office Location

Street Address 500 OSBORN BLVD
City SAULT SAINTE MARIE
State MI
Zip Code 49783-1822

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912508896 Hannah Corinne Scholten Physical Therapist 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1884 2020-11-05
1700418712 Jacob Scott Wellnitz Nurse Practitioner 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 2020-02-07
1215493788 Elizabeth Curtis Speech-Language Pathologist 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 2019-02-20
1376009324 Hannah Patience Eves Physician Assistant 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1884 2019-02-14
1003389537 Teresa Ann Plummer Registered Nurse 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 2019-01-08
1770056376 Paige King Occupational Therapist 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 2019-01-07
1174094403 Jeanette Laffy Speech-Language Pathologist 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 2018-12-16
1295205128 Kristen Lynn Grove Speech-Language Pathologist 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 2018-12-04
1922578913 Jodi Marie Newell Speech-Language Pathologist 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 2018-12-03
1013487115 Thaddeus Rogalla Speech-Language Pathologist 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1884 2018-11-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215541305 Kevin P Cooper Dds PC Dentist 202 Brady Street, Sault Sainte Marie, MI 49783 2020-09-04
1033767512 Louis William Bergman Pharmacist 3763 75 Business Spur, Sault Ste Marie, MI 49783 2019-08-28
1972076818 Phyllis Mary Robertson Speech-Language Pathologist 2472 Ashmun Street, War Memorial Hospital Rehabilitation Centre, Sault Sainte Marie, MI 49783 2019-01-03
1831611748 Thomas Matthew Choponis Optometrist 128 W Spruce St Ste 1, Sault Sainte Marie, MI 49783 2017-07-12
1730633223 Holly D Statt Dental Hygienist 905 Marquette Ave, Sault Sainte Marie, MI 49783 2016-08-12
1316306590 Debra Joyce Peake Social Worker 3865 South Mackinac Trail, Sault Ste Marie, MI 49783 2016-02-17
1629465935 Jodi Johnson Occupational Therapy Assistant 1011 Merridian St, Sault Saint Marie, MI 49783 2015-04-24
1972885606 Elizabeth Hayes Social Worker 3865 S Mackinac Trail, Sault Ste Marie, MI 49783 2011-09-20
1922252618 Denise L. Montgomery Registered Nurse 500 Osborn Blvd., Sault Ste Marie, MI 49783 2008-11-08
1487829826 Melanie A Cook Eyewear Supplier (Equipment, not the service) 1908 Ashman Street, Sault Ste Marie, MI 49783 2008-04-28
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770059529 Zachary Kenneth Brown Emergency Medicine 906 S Crapo St, Mt Pleasant, MI 48858-3662 2018-10-19
1356778286 Donald Smith Pllc Emergency Medicine 1905 N Hammond Lake Dr, Bloomfield Hills, MI 48302-0139 2013-10-10
1346486222 Flushing Road Urgent Care PC Emergency Medicine 1301 Flushing Rd, Flint, MI 48504-4710 2008-12-26
1184897209 Donnell Stephen Newman Jr. Emergency Medicine 1460 Lakepointe St, Grosse Pointe Park, MI 48230-1016 2008-04-09
1205849866 Daryl D Wisdom Emergency Medicine 10015 Cascade Rd Se, Lowell, MI 49331-9529 2006-08-14
1134131683 Rick L Holland Emergency Medicine 8333 Felch Ave, Zeeland, MI 49464 2006-08-13
1760493472 Katherine J Pitus Emergency Medicine 118000 E Twelve Mile Rd, Er Department, Warren, MI 48093 2006-08-10
1952319881 Robert Prodinger Emergency Medicine 9825 W Gull Lake Dr, Richland, MI 49083-9543 2006-08-04
1164436671 James Barry Nolin Emergency Medicine 1805 Wild Dr, Richland, MI 49083-9361 2006-07-28
1518987072 Trace Dotson Emergency Medicine 118000 E Twelve Mile Road, Er Department, Warren, MI 48093 2006-07-20
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Competitor

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City SAULT SAINTE MARIE
Zip Code 49783

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Dataset Information

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.

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