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Organization
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Active
Organization
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Active
Other names
OTSEGO MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN LARAIA (VP, ANCILLARY SERVICES)
(231) 392-8410
Entity
Organization
Contact information
Practice address
825 N CENTER AVE, GAYLORD, MI 49735
(989) 731-2163
(989) 731-2162
Mailing address
825 N CENTER AVE, GAYLORD, MI 49735-1592
(989) 731-2163
(989) 731-2162
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
5301002513
MI
3336I0012X
Institutional Pharmacy
Primary
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2041951
PK
—
05
—
5171589
—
MI
Enumeration date
12/14/2006
Last updated
07/17/2024
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