MUNSON HEALTHCARE CHARLEVOIX HOSPITAL (NPI# 1346260692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346260692 |
| Entity Type | Organization |
| Organization Name | MUNSON HEALTHCARE CHARLEVOIX HOSPITAL |
| Practice Address |
14700 Lake Shore Drive Charlevoix MI 49720-1939 |
| Practice Telephone | 2315474024 |
| Practice Fax Number | 2315478088 |
| Mailing Telephone | 2315474024 |
| Mailing Fax Number | 2315478088 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2016-01-18 |
| Authorized Official Name | 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 | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
150021 | MI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PRIORITY HEALTH | 4286 | 01 |
| MI | BLUE CARE NETWORK | 00095 | 01 |
| MI | 5170308 | 05 | |
| MI | COMP CARRIER US POSTAL SV | 134141100 | 01 |
| MI | NORTHERN HEALTH PLAN | 1001019 | 01 |
| MI | 1557598 | 05 | |
| MI | BLUE CROSS HOSP | 00095 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1326681461 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14719 W Upright St, Charlevoix, MI 49720-1949 | 2019-10-22 |
| 1629154307 | Munson Healthcare Charlevoix Hospital | Obstetrics & Gynecology | 14651 W. Upright St, Charlevoix, MI 49720-1226 | 2006-10-27 |
| 1326124058 | Munson Healthcare Charlevoix Hospital | Family Medicine | 14709 W. Upright Street, Charlevoix, MI 49720-1949 | 2006-10-27 |
| 1558904623 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14734 Park Ave, Charlevoix, MI 49720-1927 | 2019-10-22 |
| 1730722810 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14651 W Upright St, Charlevoix, MI 49720-1266 | 2019-10-22 |
| 1013550151 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 100 Main Street, East Jordan, MI 49727 | 2019-10-22 |
| 1912384843 | Munson Healthcare Charlevoix Hospital | General Practice | 14651 W Upright St, Charlevoix, MI 49720-1266 | 2015-04-29 |
| 1255779484 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 223 N Park St, Boyne City, MI 49712-1220 | 2013-06-10 |
| 1992074777 | Munson Healthcare Charlevoix Hospital | Pediatrics | 14734 Park Ave, Charlevoix, MI 49720-1927 | 2011-12-22 |
| Street Address |
14700 LAKE SHORE DRIVE |
| City | CHARLEVOIX |
| State | MI |
| Zip Code | 49720-1939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942701909 | Shannon Kristine Pemble | Physical Therapist | 14700 Lake Shore Drive, Rehab Dept, Charlevoix, MI 49720 | 2018-02-26 |
| 1063634509 | Northern Radiology Associates PC | Radiology | 14700 Lake Shore Drive, Charlevoix, MI 49720 | 2007-05-03 |
| 1417033143 | Munson Healthcare Charlevoix Hospital | Hospitalist | 14700 Lake Shore Drive, Charlevoix, MI 49720-1931 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1215587498 | Amanda Evans | Dietitian, Registered | 09210 North Pointe Woods Drive, Charlevoix, MI 49720 | 2019-09-18 |
| 1508229980 | Charlevoix Physicians Clinic | Specialist | 14709 W. Upright, Charlevoix, MI 49720 | 2016-04-01 |
| 1881014348 | Tracy Skinner | Social Worker | 220 W. Garfield Ave, Charlevoix, MI 49720 | 2014-04-23 |
| 1720414097 | Jennifer Jean Swenor | Occupational Therapist | 10270 Burnett Rd, Charlevoix, MI 49720 | 2013-09-18 |
| 1801171863 | Leslie Lukins | Pharmacist | 1500 Bridge Street, Charlevoix, MI 49720 | 2011-10-20 |
| 1164670949 | Northwest Michigan Community Health Agency | Hospice Care, Community Based | 220 W Garfield Street, Charlevoix, MI 49720 | 2008-09-04 |
| 1275722191 | Robert Dennis Cook | Pharmacist | 301 Bridge Street, Charlevoix, MI 49720 | 2007-10-16 |
| 1629191648 | Susan Mary Killam | Nurse Practitioner | Northwest Michigan Community Health Agency, 220 W. Garfield Street, Charlevoix, MI 49720 | 2007-04-06 |
| 1851410153 | Joelle M Beaudoin | Specialist/Technologist | 06510 M-66 N, Charlevoix, MI 49720 | 2007-03-28 |
| Find all providers in zip 49720 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982154365 | Detroit Medical Center | General Acute Care Hospital | 4713 Pond Run, Canton, MI 48188-2196 | 2016-10-10 |
| 1598147803 | St Joseph Mercy Oakland | General Acute Care Hospital | 874 Golf Dr Apt 101, Pontiac, MI 48341-2394 | 2015-06-23 |
| 1821415811 | Harbor Beach Community Hospital Inc | General Acute Care Hospital | 204 S Huron Ave, Harbor Beach, MI 48441 | 2014-03-27 |
| 1346590882 | Aspirus Ontonagon Hospital, Inc | General Acute Care Hospital | 601 S Seventh St, Ontonagon, MI 49953-1448 | 2012-09-12 |
| 1831454222 | Botsford Hospital | General Acute Care Hospital | 28050 Grand River Ave., Farmington Hills, MI 48336-5919 | 2012-07-11 |
| 1255611497 | Henryford Health System | General Acute Care Hospital | 34824 Birchgrove Dr, H, Sterling Heights, MI 48312-4744 | 2011-08-19 |
| 1992919336 | Francine Greenfield D.d.s., F.a.g.d.corp. | General Acute Care Hospital | 800 W Long Lake Rd, Suite #145, Bloomfield Hills, MI 48302-2056 | 2007-05-09 |
| 1770615668 | Pontiac Osteopathic Hospital | General Acute Care Hospital | 50 N Perry St., Pontiac, MI 48342-2253 | 2007-03-09 |
| 1275695850 | John Dingell Medical Center | General Acute Care Hospital | 14153 Warwick St, Detroit, MI 48223-2950 | 2006-12-14 |
| 1497820526 | Emergency Care Specialists PC | General Acute Care Hospital | 4100 Embassy Dr Se Ste 201, Grand Rapids, MI 49546-2416 | 2006-11-22 |
| Find all providers with the same taxonomy | ||||
| City | CHARLEVOIX |
| Zip Code | 49720 |
Please comment or provide details below to improve the information on MUNSON HEALTHCARE CHARLEVOIX HOSPITAL.
| 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.