- Enrollment id
- O20070510000587
- Enrollment state
- MI
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1902981889
- Multiple npi flag
- N
- Ccn
- 231512
- Associate id
- 3971408121
- Organization name
- MARLETTE REGIONAL HOSPITAL
- Doing business as name
- UNITED HOSPICE SERVICE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 2770 MAIN ST
- City
- MARLETTE
- State
- MI
- Zip code
- 484531141