# CARSON CITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MSG BCBS Group-NP's
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790804912
- **Authorized official:** MS. NATALIE BUSLEPP (MSG DIRECTOR)
- **Authorized official phone:** (989) 584-3971

## Contact information

- **Practice address:** 406 E ELM ST, CARSON CITY, MI 48811-9693
- **Practice address phone:** (989) 584-3971
- **Practice address fax:** (989) 584-6734
- **Mailing address:** 406 E ELM ST, PO BOX 730, CARSON CITY, MI 48811-9693
- **Mailing address phone:** (989) 584-3971
- **Mailing address fax:** (989) 584-6734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0E91018 | BCBS NP GROUP NUMBER | MI |