MUNSON HEALTHCARE GRAYLING (NPI# 1083010953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083010953 |
| Entity Type | Organization |
| Organization Name | MUNSON HEALTHCARE GRAYLING |
| Practice Address |
1100 E Michigan Ave Grayling MI 49738-1312 |
| Mailing Address |
1105 Sixth St Traverse City MI 49684-2349 |
| Practice Telephone | 9893485461 |
| Mailing Telephone | 2319355000 |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2016-07-11 |
| Authorized Official Name | MR. MARK A HEPLER (CFO) |
| Authorized Official Telephone | 2319355000 |
| Is Organization Subpart | Y |
| Parent Organization Name | MUNSON HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 00030 | 01 |
| MI | 230058 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235788639 | Munson Healthcare Grayling | Family Medicine | 1321 S Mount Tom Rd, Mio, MI 48647-9518 | 2019-09-09 |
| 1699275750 | Munson Healthcare Grayling | Psychologist | 1200 W North Down River Rd., Suite C, Grayling, MI 49738 | 2018-02-15 |
| 1508492133 | Munson Healthcare Grayling | Internal Medicine | 1200 W North Down River Rd Ste C, Grayling, MI 49738-8024 | 2020-03-16 |
| 1093349698 | Munson Healthcare Grayling | Clinic/Center | 1321 S Mount Tom Rd, Mio, MI 48647-9518 | 2020-02-24 |
| 1235789751 | Munson Healthcare Grayling | Clinic/Center | 1321 S Mount Tom Rd, Mio, MI 48647-9518 | 2019-09-17 |
| 1245892546 | Munson Healthcare Grayling | Audiologist | 1250 E Michigan Ave Ste C, Grayling, MI 49738-7074 | 2019-07-08 |
| 1598131617 | Munson Healthcare Grayling | Psychologist | 234 Lake St, Roscommon, MI 48653-9203 | 2015-08-12 |
| 1952787129 | Munson Healthcare Grayling | Psychologist | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2015-08-10 |
| 1689050858 | Munson Healthcare Grayling | Psychologist | 1250 E Michigan Ave, Grayling, MI 49738-7074 | 2015-08-10 |
| 1578961660 | Munson Healthcare Grayling | Orthopaedic Surgery | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2014-12-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MUNSON HEALTHCARE GRAYLING HOSPITAL | 1100 E Michigan Ave, Grayling, MI 49738-1312 |
| Street Address |
1100 E MICHIGAN AVE |
| City | GRAYLING |
| State | MI |
| Zip Code | 49738-1312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871066183 | Melissa Solis | Nurse Anesthetist, Certified Registered | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2019-01-09 |
| 1861963654 | Nelson Cannon | Occupational Therapist | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2018-12-06 |
| 1942782578 | Andrew P Brookes | Nurse Practitioner | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2018-08-30 |
| 1639658172 | Hospitalist Medicine Physicians of Michigan -tcg, Pllc | Internal Medicine | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2018-08-07 |
| 1710465141 | Jennifer Lynn Pierick | Nurse Anesthetist, Certified Registered | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2018-07-28 |
| 1932690971 | Jessica Schutte | Occupational Therapist | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2018-05-25 |
| 1609370592 | Eric Bradley South | Physical Therapist | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2018-03-23 |
| 1063913077 | Dereck Andrew Temple | Occupational Therapist | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2018-02-25 |
| 1477054799 | Laura Schweier | Physical Therapist | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2018-02-22 |
| 1780191478 | Bruce Daman | Nurse Practitioner | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2018-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699275750 | Munson Healthcare Grayling | Psychologist | 1200 W North Down River Rd., Suite C, Grayling, MI 49738 | 2018-02-15 |
| 1922543073 | Autumn Book | Assistant Behavior Analyst | 6720 Tomahawk Trl, Grayling, MI 49738 | 2016-12-28 |
| 1942756796 | Kaitlyn A Smith | Pharmacist | 2425 S. Grayling Ave., Grayling, MI 49738 | 2016-08-31 |
| 1629484290 | Northern Michigan Endocrine Pllc | Clinic/Center | 1200 West North Down River Rd, Suite B, Grayling, MI 49738 | 2014-07-03 |
| 1033533427 | Krista Mohr | Nurse Anesthetist, Certified Registered | 1100 East Michigan Ave, Mercy Hospital- Grayling, Grayling, MI 49738 | 2014-02-06 |
| 1295034296 | Tomlin Capps Rosi | Surgery | 1250 E. Michigan Ave, Suite D, Grayling, MI 49738 | 2011-03-17 |
| 1265754667 | Pamela Birtcher Fisher | Counselor | 204 Meadows Drive, Grayling, MI 49738 | 2010-02-26 |
| 1942478797 | Marilyn L Rosi | Nurse Practitioner | 1010 W. North Down River Road, Grayling, MI 49738 | 2008-02-14 |
| 1558557454 | Jeffrey K Chaulk Md PC | Optometrist | 1200 N Down River Rd, Grayling, MI 49738 | 2007-09-25 |
| 1528288784 | G.r.a.c.e. Center | Counselor | 6459 West M-72, Grayling, MI 49738 | 2007-04-27 |
| Find all providers in zip 49738 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972589489 | Memorial Medical Center of West Michigan | General Acute Care Hospital | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2005-12-16 |
| 1396732103 | West Branch Regional Medical Center | General Acute Care Hospital | 2463 S M 30, West Branch, MI 48661-9312 | 2005-10-06 |
| 1720589740 | Kathleen Grace Haas | General Acute Care Hospital | 14700 Lake Shore Dr, Charlevoix, MI 49720-1931 | 2018-02-25 |
| 1548662893 | Marquette General Hosptial-dlp | General Acute Care Hospital | 580 W College Ave, Marquette, MI 49855-2736 | 2014-09-18 |
| 1306277421 | Setu Sharma | General Acute Care Hospital | 234 Lake St, Roscommon, MI 48653-9203 | 2013-12-01 |
| 1184947756 | Huron Valley Sinai Hospital | General Acute Care Hospital | 1 William Carls Dr, Ohs, Commerce Township, MI 48382-2201 | 2010-03-10 |
| 1598099699 | Sturgis Hospital, Inc. | General Acute Care Hospital | 916 Myrtle St, Sturgis, MI 49091-2326 | 2009-09-23 |
| 1144479338 | Bell Memorial Hospital | General Acute Care Hospital | 101 S 4th St, Ishpeming, MI 49849-2151 | 2008-09-12 |
| 1881877819 | Alpena Regional Medical Center Behavioral Health Services | General Acute Care Hospital | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2007-12-13 |
| 1356565170 | Bronson Lakeview Hospital | General Acute Care Hospital | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2007-04-12 |
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| 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.