- Enrollment id
- O20030917000028
- Enrollment state
- MI
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1770774747
- Multiple npi flag
- N
- Ccn
- 231585
- Associate id
- 4082525118
- Organization name
- SCHOOLCRAFT MEMORIAL HOSPITAL
- Doing business as name
- SCHOOLCRAFT MEMORIAL HOMECARE AND HOSPICE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 7870W US HIGHWAY 2
- City
- MANISTIQUE
- State
- MI
- Zip code
- 498548992