# MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cadillac Primary Care & OBGYN a service of Otsego Memorial Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033031653
- **Authorized official:** KIRSTEN BETHANY KORTH-WHITE (PRESIDENT/CEO EAST REGION)
- **Authorized official phone:** (989) 348-0720

## Contact information

- **Practice address:** 7985 S MACKINAW TRL, CADILLAC, MI 49601-8111
- **Practice address phone:** (231) 876-6200
- **Mailing address:** 1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2026
- **Last updated:** 07/28/2026