# MUNISING MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MUNISING MEMORIAL HOSPITAL ASSOCIATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043562762
- **Legal business name:** MUNISING MEMORIAL HOSPITAL ASSOCIATION
- **Authorized official:** MELISSA HALL (CEO)
- **Authorized official phone:** (906) 387-4110

## Contact information

- **Practice address:** 1500 SANDPOINT RD, MUNISING, MI 49862-1406
- **Practice address phone:** (906) 387-4110
- **Practice address fax:** (906) 387-2825
- **Mailing address:** 1500 SANDPOINT RD, MUNISING, MI 49862-1406
- **Mailing address phone:** (906) 387-4338
- **Mailing address fax:** (906) 387-2825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 4301050177 | MI | — |
| 207Q00000X | Family Medicine Physician | 4301068824 | MI | — |
| 207Q00000X | Family Medicine Physician | 4301076662 | MI | — |
| 207Q00000X | Family Medicine Physician | 4301095227 | MI | — |
| 207Q00000X | Family Medicine Physician | 4704294505 | MI | — |
| 207X00000X | Orthopaedic Surgery Physician | 4301034044 | MI | — |
| 261QR1300X | Rural Health Clinic/Center | 1060000115 | MI | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/04/2012
- **Last updated:** 03/22/2024