# MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Healthcare Center LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114014321
- **Authorized official:** JORRI M TREMAIN (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (989) 729-4466

## Contact information

- **Practice address:** 826 W KING ST, OWOSSO, MI 48867-2120
- **Practice address phone:** (989) 723-5211
- **Practice address fax:** (989) 723-5274
- **Mailing address:** 826 W KING ST, OWOSSO, MI 48867-2120
- **Mailing address phone:** (989) 723-5211
- **Mailing address fax:** (989) 723-5274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2006
- **Last updated:** 12/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09734 | SNF | MI |
| 05 | — | 1114014321 | — | MI |