MUNSON HEALTHCARE CHARLEVOIX HOSPITAL


Address: 11695 Park Ave, Suite A, Charlevoix, MI 49720
Phone: 2314872270

MUNSON HEALTHCARE CHARLEVOIX HOSPITAL (NPI# 1609477488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609477488
Entity Type Organization
Organization Name MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Practice Address 11695 Park Ave
Suite A
Charlevoix
MI 49720
Practice Telephone 2314872270
Practice Fax Number 2314876168
Mailing Telephone 2314872270
Mailing Fax Number 2314876168
Enumeration Date 2020-11-06
Last Update Date 2020-11-06
Authorized Official Name MARK HEPLER (CFO)
Authorized Official Telephone 2319356521
Is Organization Subpart Y
Parent Organization Name MUNSON HEALTHCARE CHARLEVOIX HOSPITAL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Munson Healthcare Charlevoix Urology Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
405 N Division Rd Ste 2, Petoskey, MI 497709046 2314872270 2314876168

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
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

Office Location

Street Address 11695 PARK AVE
SUITE A
City CHARLEVOIX
State MI
Zip Code 49720

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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
1326173659 Porter & Associates Dds PC Dentist 201 Bridge Park Drive, Charlevoix, MI 49720 2007-02-23
Find all providers in zip 49720

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740485739 Jerome Everett Seymour Urology 7603 Indian Trl, Charlevoix, MI 49720-9384 2007-06-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396235610 Munson Medical Center Urology 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 2018-05-11
1770072498 Bellin Health Iron Mountain Inc Urology 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 2018-05-08
1205215621 Alexander David Tapper Urology 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 2015-05-19
1912324211 Boston Medical Group, P.C. Urology 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 2014-03-25
1548600984 Katie Marie Rosen Urology 19991 Hall Rd Ste 201, Macomb, MI 48044 2013-06-30
1609213636 Arya Khatiwoda Urology 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 2013-05-31
1003179730 Kalen Jacob Rimar Urology 130 Town Center Dr Ste 101, Troy, MI 48084 2012-06-18
1780955294 Harry Nicholas Kotsis Urology 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 2012-01-16
1750678264 Michael Kozminski Urology 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 2011-07-05
1669771507 Mazen Abdelhady Urology 6001 W Outer Dr Ste 350, Detroit, MI 48235-2686 2011-03-17
Find all providers with the same taxonomy

Competitor

Search similar providers

City CHARLEVOIX
Zip Code 49720

Improve Information

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Dataset Information

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.

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