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Organization
MEMORIAL HOSPITAL
Active
Organization
MEMORIAL HOSPITAL
Active
Other names
Memorial Healthcare Center LTC
Organization subpart
No
Provider details
NPI number
Authorized official
JORRI M TREMAIN (CHIEF FINANCIAL OFFICER)
(989) 729-4466
Entity
Organization
Contact information
Practice address
826 W KING ST, OWOSSO, MI 48867-2120
(989) 723-5211
(989) 723-5274
Mailing address
826 W KING ST, OWOSSO, MI 48867-2120
(989) 723-5211
(989) 723-5274
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09734
SNF
MI
05
—
1114014321
—
MI
Enumeration date
10/07/2006
Last updated
12/18/2024
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