# NORTHERN MICHIGAN REGIONAL HOSPITAL

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

## Provider details

- **NPI number:** 1629339346
- **Authorized official:** MR. DAVE ZECHMAN (PRESIDENT, CEO)
- **Authorized official phone:** (231) 487-4011

## Contact information

- **Practice address:** 740 S MAIN ST, SUITE 2 - MCPC (RHC), CHEBOYGAN, MI 49721-2220
- **Practice address phone:** (231) 627-1282
- **Practice address fax:** (231) 627-1850
- **Mailing address:** 416 CONNABLE AVE, ADMINISTRATION - CEO / (RURAL HEALTH CLINIC), PETOSKEY, MI 49770-2212
- **Mailing address phone:** (231) 487-7684
- **Mailing address fax:** (231) 487-7721

## Taxonomy

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

## Other

- **Enumeration date:** 05/30/2012
- **Last updated:** 12/06/2017
