# COMMUNITY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316968043
- **Authorized official:** MRS. HOLLY CAMPA (VICE PRESIDENT/FINANCE)
- **Authorized official phone:** (231) 627-1203

## Contact information

- **Practice address:** 740 S MAIN ST, CHEBOYGAN, MI 49721-2220
- **Practice address phone:** (231) 627-9921
- **Practice address fax:** (231) 627-1312
- **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 |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | MI | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 12/08/2008