THE MEMORIAL HOSPITAL (NPI# 1093198624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093198624 |
| Entity Type | Organization |
| Organization Name | THE MEMORIAL HOSPITAL |
| Other Organization Name | MEMORIAL HEALTHCARE |
| Practice Address |
826 W King St # 1-117 Owosso MI 48867-2120 |
| Practice Telephone | 9897294781 |
| Practice Fax Number | 9897254970 |
| Mailing Telephone | 9897294781 |
| Mailing Fax Number | 9897294971 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2019-02-25 |
| Authorized Official Name | DR. MARLA EKOLA (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 9897294588 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | 1060000059 | MI | Hospitals |
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PHP IN/OUTPATIENT | 5000009 | 01 |
| MI | INPATIENT/OUTPATIENT/PSYC | 00058 | 01 |
| MI | 1063414233 | 05 | |
| MI | 1093198624 | 05 | |
| MI | CHAMPUS IN/OUTPATIENT | M004774 | 01 |
| Other Name | Type Code |
|---|---|
| Memorial Healthcare | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 721 N Shiawassee St, Owosso, MI 488671632 | 9897294781 | 9897254970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386101566 | The Memorial Hospital | Pharmacy | 9900 W M 21 Ste 103, Ovid, MI 48866-9798 | 2019-02-25 |
| 1477857944 | The Memorial Hospital | Clinic/Center | 7200 Woodbury Rd, Laingsburg, MI 48848-8799 | 2010-12-27 |
| 1063418424 | The Memorial Hospital | Skilled Nursing Facility | 750 Hospital Loop, Craig, CO 81625 | 2005-06-21 |
| 1396139507 | The Memorial Hospital | Clinic/Center | 785 Russell St, Craig, CO 81625-2019 | 2015-03-25 |
| 1992000103 | The Memorial Hospital | Internal Medicine | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2011-01-19 |
| 1366421141 | The Memorial Hospital | Obstetrics & Gynecology | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2006-01-11 |
| 1619968849 | The Memorial Hospital | Orthopaedic Surgery | 3073 White Mountain Hwy, North Conway, NH 03860-5111 | 2005-11-05 |
| 1629060926 | The Memorial Hospital | Family Medicine | 3073 White Mountain Hwy, North Conway, NH 03860-5111 | 2005-08-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | THE MEMORIAL HOSPITAL | 111 Brewster St., Pawtucket, RI 02860 |
| Street Address |
826 W KING ST # 1-117 |
| City | OWOSSO |
| State | MI |
| Zip Code | 48867-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093908 | Sabrina Hughes | Technician | 1350 E M 21 Ste 304, Owosso, MI 48867 | 2019-03-20 |
| 1124521869 | Karry Lynn Wilson | Occupational Therapist | 275 Caledonia Drive, Owosso, MI 48867 | 2018-03-08 |
| 1740782051 | Holly Krystine Taylor | Occupational Therapy Assistant | 275 Caledonia Dr, Owosso, MI 48867 | 2018-03-02 |
| 1255833703 | Misty Sue Yerrick | Occupational Therapy Assistant | 275 Caladonia Dr, Owosso, MI 48867 | 2018-03-01 |
| 1699276212 | Chantel Marie Ferrio | Physical Medicine & Rehabilitation | 275 Caldonia Drive, Owosso, MI 48867 | 2018-02-28 |
| 1083127880 | The Arc Shiawassee County Inc | Respite Care | 1905 West M-21, Owosso, MI 48867 | 2017-11-15 |
| 1609317486 | Moses Prempeh | Pharmacist | 1002 E Main St, Owosso, MI 48867 | 2017-03-14 |
| 1083065312 | Lauren Quinlan | Behavioral Analyst | 912 S Washington St, Owosso, MI 48867 | 2016-06-28 |
| 1952790990 | Ashley Nemeth | Occupational Therapy Assistant | 3130 W Brewer Rd, Owosso, MI 48867 | 2015-01-14 |
| 1538432174 | Marc W. Perry | Counselor | 120 W. Exchange Street, Suite 300, Catholic Charities, Owosso, MI 48867 | 2012-02-13 |
| Find all providers in zip 48867 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538618 | Village Care Pharmacy LLC | Pharmacy | 427 W Main St, Owosso, MI 48867-2759 | 2018-11-30 |
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| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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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.