MUNSON HEALTHCARE CHARLEVOIX HOSPITAL (NPI# 1558904623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558904623 |
| Entity Type | Organization |
| Organization Name | MUNSON HEALTHCARE CHARLEVOIX HOSPITAL |
| Other Organization Name | MUNSON HEALTHCARE CHARLEVOIX PRIMARY CARE |
| Practice Address |
14734 Park Ave Charlevoix MI 49720-1927 |
| Practice Telephone | 2315476554 |
| Practice Fax Number | 2315471179 |
| Mailing Telephone | 2315476554 |
| Mailing Fax Number | 2315471179 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2020-01-02 |
| Authorized Official Name | MARK HELPER (VP AND CFO) |
| Authorized Official Telephone | 2319356512 |
| Is Organization Subpart | Y |
| Parent Organization Name | MUNSON HEALTHCARE CHARLEVOIX HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Munson Healthcare Charlevoix Primary Care | Doing Business As Name - Organization |
| Munson Healthcare Charlevoix Primary Care | Other Name - Individual/Organization |
| 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 |
| 1346260692 | Munson Healthcare Charlevoix Hospital | General Acute Care Hospital | 14700 Lake Shore Drive, Charlevoix, MI 49720-1939 | 2006-07-20 |
| 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 |
14734 PARK AVE |
| City | CHARLEVOIX |
| State | MI |
| Zip Code | 49720-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538151212 | Roderic E Tinney | Pediatrics | 14734 Park Ave, Charlevoix, MI 49720-1927 | 2005-08-18 |
| 1114368321 | Chris Loewen | Family Medicine | 14734 Park Ave, Charlevoix, MI 49720-1927 | 2013-07-16 |
| 1992074777 | Munson Healthcare Charlevoix Hospital | Pediatrics | 14734 Park Ave, Charlevoix, MI 49720-1927 | 2011-12-22 |
| 1013173392 | Rachel Beth Newman | Pediatrics | 14734 Park Ave, Charlevoix, MI 49720-1927 | 2008-08-05 |
| 1952596637 | Munson Healthcare Charlevoix Hospital | Emergency Medicine | 14734 Park Ave, Charlevoix, MI 49720-1931 | 2007-09-06 |
| 1063598845 | Munson Healthcare Charlevoix Hospital | Nurse Anesthetist, Certified Registered | 14734 Park Ave, Charlevoix, MI 49720-1931 | 2006-10-27 |
| 1750484879 | Mark William Smith | Family Medicine | 14734 Park Ave, Charlevoix, MI 49720-1927 | 2006-09-06 |
| 1649291048 | Cynthia Statler | Pediatrics | 14734 Park Ave, Charlevoix, MI 49720-1927 | 2006-07-21 |
| 1538102694 | Pine River Medical Associates, P.C. | Specialist | 14734 Park Ave, Charlevoix, MI 49720 | 2006-06-14 |
| 1659363299 | Melodie R Brown | Family Medicine | 14734 Park Ave, Charlevoix, MI 49720-1927 | 2005-08-19 |
| Find all providers in the same location | ||||
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326681461 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14719 W Upright St, Charlevoix, MI 49720-1949 | 2019-10-22 |
| 1457916637 | Samaritan Health Care, PC | Clinic/Center | 5916 Us Highway 31 S, Charlevoix, MI 49720-9703 | 2019-05-03 |
| 1730722810 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14651 W Upright St, Charlevoix, MI 49720-1266 | 2019-10-22 |
| 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 |
| 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 |
| 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 |
| 1477973493 | Mecosta County Medical Center | Clinic/Center | 8354 100th Ave Ste 1, Canadian Lakes, MI 49346-8345 | 2014-04-17 |
| 1942548946 | Great Lakes Medical PC | Clinic/Center | 1111 S Mission St, Mount Pleasant, MI 48858-3944 | 2013-01-25 |
| 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.