# MUNSON HEALTHCARE CHARLEVOIX HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MUNSON HEALTHCARE CHARLEVOIX HOSPI
- **Other names:** Munson Healthcare Charlevoix Pediatrics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326681461
- **Legal business name:** MUNSON HEALTHCARE CHARLEVOIX HOSPI
- **Authorized official:** MARK HEPLER (VP AND CFO)
- **Authorized official phone:** (231) 935-6512

## Contact information

- **Practice address:** 14719 W UPRIGHT ST, CHARLEVOIX, MI 49720-1949
- **Practice address phone:** (231) 547-3840
- **Practice address fax:** (231) 547-8648
- **Mailing address:** 14719 W UPRIGHT ST, CHARLEVOIX, MI 49720-1949
- **Mailing address phone:** (231) 547-3840
- **Mailing address fax:** (231) 547-8648

## Taxonomy

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

## Other

- **Enumeration date:** 10/22/2019
- **Last updated:** 10/22/2019