# MUNSON HEALTHCARE GRAYLING

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MUNSON HEALTHCARE GRAYLING
- **Other names:** Munson Healthcare Mio Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235789751
- **Legal business name:** MUNSON HEALTHCARE GRAYLING
- **Authorized official:** KIRSTEN O KORTH-WHITE (PRESIDENT/CEO EAST REGION)
- **Authorized official phone:** (989) 348-0720

## Contact information

- **Practice address:** 1321 S MOUNT TOM RD, MIO, MI 48647-9518
- **Practice address phone:** (989) 275-1200
- **Practice address fax:** (989) 275-1210
- **Mailing address:** 1321 S MOUNT TOM RD, MIO, MI 48647-9518
- **Mailing address phone:** (989) 275-1200
- **Mailing address fax:** (989) 275-1210

## Taxonomy

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

## Other

- **Enumeration date:** 09/17/2019
- **Last updated:** 04/02/2024