Medilodge Of Marshall

LBN: Marshall Opco, Llc
Medilodge Of Marshall is an health care organization with primary practice located at 879 E Michigan Ave , Marshall MI 49068-2045. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Marshall Opco, Llc can be contacted via phone (269) 781-4251, or through Rogers, Stacey Paul via phone (502) 429-8062.

Contact Information

Primary practice address
879 E Michigan Ave Marshall MI 49068-2045
Phone: (269) 781-4251
Fax: (269) 781-8420
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Stacey Paul
Phone: (502) 429-8062

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1518364744
LBN Legal business name Marshall Opco, Llc
DBA Doing business as Medilodge Of Marshall
Authorized official Rogers, Stacey Paul
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2014
Last updated Jul 16th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518364744 NPPES
Michigan MEDICAID 1518364744

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