MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL (NPI# 1093911364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093911364 |
| Entity Type | Organization |
| Organization Name | MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL |
| Other Organization Name | MUNSON HEALTHCARE OMH WALK-IN CLINIC RHC |
| Practice Address |
1996 Walden Dr Gaylord MI 49735 |
| Mailing Address |
825 N Center Ave Gaylord MI 49735-1592 |
| Practice Telephone | 9897314111 |
| Practice Fax Number | 9897058511 |
| Mailing Telephone | 9897312100 |
| Mailing Fax Number | 9897317929 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | MR. THOMAS R. LEMON (CEO) |
| Authorized Official Telephone | 9897312215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
238606 | MI | Hospitals |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CMS CERTIFICATION NUMBER | 23-8606 | 01 |
| Other Name | Type Code |
|---|---|
| Munson Healthcare OMH Walk-In Clinic RHC | Doing Business As Name - Organization |
| Otsego Memorial Hospital MedCare Rural Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124028972 | Munson Healthcare Otsego Memorial Hospital | General Acute Care Hospital | 825 N Center Ave, Gaylord, MI 49735 | 2005-07-22 |
| 1992146807 | Munson Healthcare Otsego Memorial Hospital | General Practice | 2572 N Us Highway 131, Elmira, MI 49730 | 2013-07-09 |
| 1265871339 | Munson Healthcare Otsego Memorial Hospital | General Practice | 2572 N Us Highway 131, Elmira, MI 49730 | 2013-06-21 |
| 1639420557 | Munson Healthcare Otsego Memorial Hospital | General Practice | 3860 S Straits Hwy, Indian River, MI 49749 | 2012-10-02 |
| 1053661231 | Munson Healthcare Otsego Memorial Hospital | General Practice | 3860 S Straits Hwy, Indian River, MI 49749 | 2012-09-14 |
| 1285867838 | Munson Healthcare Otsego Memorial Hospital | General Practice | 3040 Bourn St, Lewiston, MI 49756 | 2009-08-31 |
| 1538328364 | Munson Healthcare Otsego Memorial Hospital | General Practice | 3040 Bourn St, Lewiston, MI 49756 | 2008-06-06 |
| 1164628426 | Munson Healthcare Otsego Memorial Hospital | General Practice | 829 N Center Ave, Gaylord, MI 49735 | 2007-06-25 |
| 1447468442 | Munson Healthcare Otsego Memorial Hospital | Physician Assistant | 825 N Center Ave, Gaylord, MI 49735 | 2007-05-21 |
| 1487791695 | Munson Healthcare Otsego Memorial Hospital | General Practice | 1996 Walden Dr, Gaylord, MI 49735 | 2007-01-30 |
| Street Address |
1996 WALDEN DR |
| City | GAYLORD |
| State | MI |
| Zip Code | 49735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629005111 | Renee Deanne Mesack | Physician Assistant | 1996 Walden Dr, Gaylord, MI 49735-8241 | 2006-06-28 |
| 1417413113 | Catherine Irene Oneill | Physician Assistant | 1996 Walden Dr, Gaylord, MI 49735-8241 | 2019-02-18 |
| 1013153063 | David J Kurn | Family Medicine | 1996 Walden Dr, Gaylord, MI 49735-8241 | 2008-12-22 |
| 1497919609 | Alicia Michele Williams | Physician Assistant | 1996 Walden Dr, Gaylord, MI 49735-8241 | 2008-07-16 |
| 1487791695 | Munson Healthcare Otsego Memorial Hospital | General Practice | 1996 Walden Dr, Gaylord, MI 49735 | 2007-01-30 |
| 1518992064 | Ronald Alan Weisberger | Emergency Medicine | 1996 Walden Dr, Gaylord, MI 49735-8241 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447453 | Jenni Kirt | Social Worker | 407 I-75 Bus N, Gaylord, MI 49735 | 2020-11-05 |
| 1922584986 | Patricia Dovalina | Behavior Technician | 2285 Michaywe Dr, Otsego Lake, MI 49735 | 2018-07-12 |
| 1265944581 | James Hulbert | Social Worker | 407 W Main Street, Gaylord, MI 49735 | 2017-10-26 |
| 1548792625 | Somer Lawes | Behavior Technician | 2443 Castlewood Dr, Gaylord, MI 49735 | 2017-03-29 |
| 1922554161 | Mark David Mcpherson | Counselor | 2136 West M-32, Gaylord, MI 49735 | 2016-08-28 |
| 1689063034 | Liza Brandt | Behavioral Analyst | 6748 Colonial Ct, Gaylord, MI 49735 | 2015-01-22 |
| 1942597224 | Visions for Your Community Care Hhc | Home Health | 2365 N Perch Lake Dr, Gaylord, MI 49735 | 2011-07-07 |
| 1073778304 | Julie Lynn Vandusen | Community Health Worker | 5512 Clubhouse Trail, Gaylord, MI 49735 | 2008-07-25 |
| 1073708798 | Alpine Chiropractic, PC | Chiropractor | 529 S. Wisconsin Ave, Gaylord, MI 49735 | 2007-09-06 |
| 1669675567 | Oral and Maxillofacial Surgery Associates | Dentist | 785 E M32, Gaylord, MI 49735 | 2007-06-07 |
| Find all providers in zip 49735 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871553289 | Sibley Medical Center | Clinic/Center | 660 3rd Street, Gaylord, MN 55334 | 2006-03-28 |
| 1447872551 | Mclaren Central Michigan | Clinic/Center | 1320 E M 32, Gaylord, MI 49735-8378 | 2020-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487274940 | Mclaren Central Michigan | Clinic/Center | 2853 Health Pkwy, Mt Pleasant, MI 48858-9374 | 2020-04-24 |
| 1821618687 | Mclaren Central Michigan | Clinic/Center | 3520 N Woodruff Rd, Weidman, MI 48893-7734 | 2020-04-22 |
| 1932747946 | Mckenzie Memorial Hospital | Clinic/Center | 170 W Argyle Street, Sandusky, MI 48471 | 2019-12-20 |
| 1326681461 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14719 W Upright St, Charlevoix, MI 49720-1949 | 2019-10-22 |
| 1881254605 | Schoolcraft Memorial Hospital | Clinic/Center | W11650 Us Highway 2, Naubinway, MI 49762-5116 | 2019-06-14 |
| 1093370264 | Samaritan Health Care, PC | Clinic/Center | 4361 220th Ave, Reed City, MI 49677-8594 | 2019-05-03 |
| 1457916637 | Samaritan Health Care, PC | Clinic/Center | 5916 Us Highway 31 S, Charlevoix, MI 49720-9703 | 2019-05-03 |
| 1033621263 | Caro Community Hospital | Clinic/Center | 345 N State St, Caro, MI 48723-1537 | 2017-10-27 |
| 1275050726 | Hills & Dales General Hospital, Inc. | Clinic/Center | 130 Millwood Street, Caro, MI 48723-1630 | 2017-08-25 |
| 1275932329 | Sturgis Hospital, Inc. | Clinic/Center | 111 S Saint Joseph St, Colon, MI 49040-9342 | 2014-08-14 |
| 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.