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CAH231307-00 BARAGA COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
BARAGA COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH231307-00
Medicare Provider Number
231307
Additional Details
Current Program Status
Active
Registration Date
9/22/2010
Participating Start Date
9/29/2010
Participating Approval Date
9/22/2010
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Baraga County Memorial Hospital
Gail E Jestila, CFO
(906) 524-3348
Primary Contact
Baraga County Memorial Hospital
Robert James Borlace, Director of Pharmacy
(906) 524-3429
Addresses
Street Address
18341 U.S Highway 41
L'ANSE, MI 49946
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/21/11 updated addr (was 770 N. MAIN ST.)
09/21/2011
May 2025
May 2025
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