MEMORIAL HOSPITAL (NPI# 1609073709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609073709 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL |
| Other Organization Name | MEMORIAL HEALTHCARE |
| Practice Address |
9099 E Lansing Rd Ste B Durand MI 48429-1083 |
| Mailing Address |
1975 W M 21 Ste 103 Owosso MI 48867-8164 |
| Practice Telephone | 9892880400 |
| Practice Fax Number | 9892887862 |
| Mailing Telephone | 9897256528 |
| Mailing Fax Number | 9897239446 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2018-12-19 |
| Authorized Official Name | JORRI TREMAIN (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 9897294466 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1609073709 | 05 |
| Other Name | Type Code |
|---|---|
| Memorial Healthcare | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9099 E Lansing Rd, Durand, MI 484291083 | 9892880400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528447992 | Memorial Hospital | General Acute Care Hospital | 1400 E. Boulder St. #3138, Colorado Springs, CO 80045 | 2015-05-19 |
| 1629469002 | Memorial Hospital | Family Medicine | 2319 Old Plank Road, Chester, IL 62233-1116 | 2015-02-06 |
| 1003025883 | Memorial Hospital | Psychiatric Residential Treatment Facility | 806 Central Ave Se, Albuquerque, NM 87102-3606 | 2007-05-21 |
| 1376759563 | Memorial Hospital | Family Medicine | 86 Savannah Lane, Bulan, KY 41722 | 2007-05-15 |
| 1598977787 | Memorial Hospital | Family Medicine | 3337 W Britton Rd, Perry, MI 48872 | 2007-05-03 |
| 1639209232 | Memorial Hospital | Internal Medicine | 1480 N M 52, Owosso, MI 48867-1235 | 2007-03-06 |
| 1306973805 | Memorial Hospital | Physician Assistant | 207 Shirlwood Dr, Schenectady, NY 12306-3417 | 2007-02-28 |
| 1851338149 | Memorial Hospital | General Acute Care Hospital | 715 South Taft Avenue, Fremont, OH 43420-3200 | 2006-06-02 |
| 1316923485 | Memorial Hospital | Hospice Care, Community Based | 1412 6th Ave, York, PA 17403-2648 | 2005-12-20 |
| 1477548774 | Memorial Hospital | General Acute Care Hospital | 1785 4th Ave, York, PA 17403-2615 | 2005-09-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL | 224 E 2nd St, Dumas, TX 79029-3808 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL & HEALTH CARE CENTER | 800 W 9th St, Jasper, IN 47546-2514 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND COMMUNITY HEALTH FOUNDATION INC | 112 East Fifth Avenue, Antigo, WI 54409-2710 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND HOMES ASSOCIATION, INC. | 415 8th Ave Sw, Perham, MN 56573-1156 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND MANOR | 1500 E Shotwell St, Bainbridge, GA 39819-4256 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND MEDICAL CENTER | 400 Rosalind Redfern Grover Parkway, Midland, TX 79701-5846 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AT GULFPORT | 4500 13th St, Gulfport, MS 39501-2515 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL CENTRAL | 1400 E Boulder St, Colorado Springs, CO 80909-5533 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL EAST | 1404 Cross St, Shiloh, IL 62269-2988 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL FOR CANCER & ALLIED DISEASES | 1275 York Ave, New York, NY 10065-6007 |
| Street Address |
9099 E LANSING RD STE B |
| City | DURAND |
| State | MI |
| Zip Code | 48429-1083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093231870 | Amanda Brooke Ariss | Registered Nurse | 9099 E Lansing Rd Ste B, Durand, MI 48429-1083 | 2017-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659937084 | Kenneth Wayne Rockwell | Specialist/Technologist | 8906 East Lansing Highway, Durand, MI 48429 | 2019-05-10 |
| 1356735161 | Miles Drobish | Specialist/Technologist | 5649 Vernon Rd Lot 27, Durand, MI 48429 | 2015-03-19 |
| 1992929459 | Robert R Canas | General Practice | 406 N Saginaw St, Durand, MI 48429 | 2007-04-13 |
| 1104372358 | Malena Forgach | Physician Assistant | 9099 E Lansing Rd, Durand, MI 48429 | 2016-08-28 |
| 1972699312 | Monroe Medical Clinic Pllc | Family Medicine | 8759 Monroe Rd, Durand, MI 48429 | 2006-10-05 |
| 1629182498 | Burton Dental Center,pc | Dentist | 103 W Clinton St, Suite A, Durand, MI 48429 | 2006-08-18 |
| 1184621658 | Durand Convalescent Center | Skilled Nursing Facility | 8750 E. Monroe Rd., Durand, MI 48429-0197 | 2005-06-30 |
| 1689625030 | Robert L Roty | Family Medicine | 8750 Monroe Rd, Durand, MI 48429-1000 | 2006-05-12 |
| 1710475397 | Kenneth Wall | Physical Therapist | 8750 Monroe Rd, Durand, MI 48429-1000 | 2018-04-29 |
| 1962567438 | Durand Senior Care and Rehab Center, LLC | Durable Medical Equipment & Medical Supplies | 8750 Monroe Rd, Durand, MI 48429-1000 | 2006-12-26 |
| Find all providers in zip 48429 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073774717 | Leroy A Waite | General Practice | 301 N Saginaw St, Durand, MI 48429-1238 | 2008-06-24 |
| 1992929459 | Robert R Canas | General Practice | 406 N Saginaw St, Durand, MI 48429 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649120 | Source Medical Solutions Pllc | General Practice | 625 Kenmoor Ave Se Ste 301, Grand Rapids, MI 49546-2395 | 2020-11-06 |
| 1043832801 | Ksk Medical Pllc | General Practice | 6300 Winter Rd, Manitou Beach, MI 49253-9634 | 2020-05-14 |
| 1275184921 | Home Physicians Group Inc | General Practice | 18481 W 10 Mile Rd Ste 102, Southfield, MI 48075-2621 | 2019-09-24 |
| 1558913251 | Baybrooke Counseling | General Practice | 421 St. Josephs Ave, Suttons Bay, MI 49682 | 2019-07-12 |
| 1962062539 | Healthcare Alliance Pllc | General Practice | 35 S Johnson St Ste 1b, Pontiac, MI 48341-1660 | 2019-06-17 |
| 1356905061 | Comprehensive Care Medical Services | General Practice | 1747 Andover Ln Se, East Grand Rapids, MI 49506-4805 | 2019-04-29 |
| 1336602812 | Mk Certified, LLC | General Practice | 2140 Stone Rd, Ann Arbor, MI 48105-2535 | 2019-04-10 |
| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1881183028 | Silverstone Medical Group, Pllc | General Practice | 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 | 2018-05-03 |
| 1245739903 | Breanna Lee Brookens | General Practice | 1531 Barnard St, Saginaw, MI 48602-4902 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEMORIAL 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.