# MUNSON HEALTHCARE CHARLEVOIX HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MUNSON HEALTHCARE CHARLEVOIX HOSPI
- **Other names:** Munson Healthcare Jordan Valley Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013550151
- **Legal business name:** MUNSON HEALTHCARE CHARLEVOIX HOSPI
- **Authorized official:** MARK HEPLER (VP AND CFO)
- **Authorized official phone:** (231) 935-6512

## Contact information

- **Practice address:** 100 MAIN STREET, EAST JORDAN, MI 49727
- **Practice address phone:** (231) 547-6554
- **Practice address fax:** (231) 547-1179
- **Mailing address:** 100 MAIN STREET, EAST JORDAN, MI 49727
- **Mailing address phone:** (231) 547-6554
- **Mailing address fax:** (231) 547-1179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/22/2019
- **Last updated:** 10/22/2019