# MUNSON HEALTHCARE GRAYLING

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MUNSON HEALTHCARE
- **Other names:** MUNSON HEALTHCARE CRAWFORD CONTINUING CARE CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720484504
- **Legal business name:** MUNSON HEALTHCARE
- **Authorized official:** KORTH-WHITE KIRSTEN (PRESIDENT/CEO EAST REGION)
- **Authorized official phone:** (989) 348-0720

## Contact information

- **Practice address:** 1100 E MICHIGAN AVE, GRAYLING, MI 49738-1312
- **Practice address phone:** (989) 348-0594
- **Mailing address:** 1105 SIXTH ST, TRAVERSE CITY, MI 49684-2349
- **Mailing address phone:** (231) 935-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2014
- **Last updated:** 06/07/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00030 | BLUE CROSS | MI |
| 05 | — | 235201 | — | MI |
