MUNSON HEALTHCARE CHARLEVOIX HOSPITAL (NPI# 1912384843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912384843 |
| Entity Type | Organization |
| Organization Name | MUNSON HEALTHCARE CHARLEVOIX HOSPITAL |
| Other Organization Name | MUNSON HEALTHCARE CHARLEVOIX PHYSICIAN SPECIALISTS |
| Practice Address |
14651 W Upright St Charlevoix MI 49720-1266 |
| Practice Telephone | 2315478833 |
| Practice Fax Number | 2315474753 |
| Mailing Telephone | 2315478833 |
| Mailing Fax Number | 2315474753 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2016-03-07 |
| Authorized Official Name | MARK 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 | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Munson Healthcare Charlevoix Physician Specialists | Doing Business As Name - 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 |
| 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 |
| 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 |
14651 W UPRIGHT ST |
| City | CHARLEVOIX |
| State | MI |
| Zip Code | 49720-1266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164490611 | Jeffrey W Wilder | Obstetrics & Gynecology | 14651 W Upright St, Charlevoix, MI 49720-1266 | 2006-03-10 |
| 1730722810 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14651 W Upright St, Charlevoix, MI 49720-1266 | 2019-10-22 |
| 1336536309 | Vicki Rupert | Nurse Practitioner | 14651 W Upright St, Charlevoix, MI 49720-1266 | 2015-04-17 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 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.