# MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Munson Healthcare OMH Medical Group-Lewiston RHC, OMH Medical Group Lewiston RHC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285867838
- **Authorized official:** MICHAEL FRYE MD (PRES AMBULATORY & BUS DEVELOPMENT)
- **Authorized official phone:** (704) 458-8010

## Contact information

- **Practice address:** 3040 BOURN ST, LEWISTON, MI 49756
- **Practice address phone:** (989) 786-4877
- **Practice address fax:** (989) 786-2187
- **Mailing address:** 829 N CENTER AVE, GAYLORD, MI 49735-1595
- **Mailing address phone:** (989) 731-2100
- **Mailing address fax:** (989) 731-7929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 282NR1301X | Rural Acute Care Hospital | 238620 | MI | — |

## Other

- **Enumeration date:** 08/31/2009
- **Last updated:** 04/17/2026