MUNISING MEMORIAL HOSPITAL ASSOCIATION (NPI# 1417035536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417035536 |
| Entity Type | Organization |
| Organization Name | MUNISING MEMORIAL HOSPITAL ASSOCIATION |
| Other Organization Name | MUNISING MEMORIAL HOSPITAL |
| Practice Address |
1500 Sand Point Rd Munising MI 49862-1406 |
| Practice Telephone | 9063874110 |
| Practice Fax Number | 9063874649 |
| Mailing Telephone | 9063874110 |
| Mailing Fax Number | 9063874649 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2015-04-24 |
| Authorized Official Name | KEVIN CALHOUN (CEO) |
| Authorized Official Telephone | 9063874110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
020010 | MI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD MI | 00103 | 01 |
| MI | 301555520 | 05 | |
| MI | 405171468 | 05 |
| Other Name | Type Code |
|---|---|
| Munising Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932628922 | Munising Memorial Hospital Association | Physician Assistant | E21843 Grand Marais Ave, Grand Marais, MI 49839-4986 | 2017-09-12 |
| 1629120415 | Munising Memorial Hospital Association | Clinic/Center | 1500 Sand Point Road, Munising, MI 49862-1406 | 2007-01-18 |
| 1427611391 | Munising Memorial Hospital Association | Specialist | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2019-04-17 |
| 1750894648 | Munising Memorial Hospital Association | Medicare Defined Swing Bed Unit | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2017-11-14 |
| 1346569498 | Munising Memorial Hospital Association | Nurse Anesthetist, Certified Registered | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2010-05-27 |
| Street Address |
1500 SAND POINT RD |
| City | MUNISING |
| State | MI |
| Zip Code | 49862-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154592491 | Paula Marie Ackerman | Dietitian, Registered | 1500 Sand Point Rd, Munising, MI 49862 | 2008-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619202447 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 413 Maple Street, Suite 2, Munising, MI 49862 | 2009-10-13 |
| 1639329287 | George Schultz | Pharmacist | 415 E. Hwy. M-28, Munising, MI 49862 | 2008-09-19 |
| 1376619973 | Victor Adam Patronik | Dentist | 109 East Superior, Munising, MI 49862 | 2006-11-27 |
| 1386650182 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 415 E M-28, Munising, MI 49862 | 2006-08-01 |
| 1952320509 | Michelle L Sharp | Psychologist | 601 West Superior Street, Munising, MI 49862 | 2006-07-18 |
| 1457309569 | Kurt Richard Olson | Family Medicine | 1504 Sand Point Road, Munising, MI 49862 | 2006-05-04 |
| 1518953934 | David M Gast | Physical Medicine & Rehabilitation | 1500 Sandpoint Rd, Munising, MI 49862 | 2005-09-21 |
| 1619441730 | Natalie Pianetto Buck | Dermatology | 1500 Sandpoint Rd, Munising, MI 49862 | 2019-01-11 |
| 1801107552 | Mercy Adeola Odueyungbo | Dermatology | 1500 Sandpoint Rd, Munising, MI 49862 | 2010-06-28 |
| 1669575148 | Superior Walk-in Center, PC | Family Medicine | 1504 Sand Point Road, Munising, MI 49862 | 2006-09-07 |
| Find all providers in zip 49862 | ||||
| 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 | ||||
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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.