# COMMUNITY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306935663
- **Authorized official:** TED P ANDERSON (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (231) 627-1203

## Contact information

- **Practice address:** 748 S MAIN ST, CHEBOYGAN, MI 49721-2220
- **Practice address phone:** (231) 627-1438
- **Practice address fax:** (231) 627-1471
- **Mailing address:** PO BOX 419, CHEBOYGAN, MI 49721-0419
- **Mailing address phone:** (231) 627-1438
- **Mailing address fax:** (231) 627-1471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 08/22/2020