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Organization
MEMORIAL HOSPITAL
Active
Organization
MEMORIAL HOSPITAL
Active
Parent organization
MEMORIAL HOSPITAL
Other names
Memorial Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL
Authorized official
JORRI M TREMAIN (CFO)
(989) 729-4466
Entity
Organization
Contact information
Practice address
1002 E M 21 STE 100, OWOSSO, MI 48867-9007
(989) 720-5400
(989) 729-4303
Mailing address
113 E WILLIAMS ST, OWOSSO, MI 48867-2360
(989) 725-6528
(989) 723-9446
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609030600
—
MI
Enumeration date
07/18/2008
Last updated
12/09/2024
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