Organization
MUNISING MEMORIAL HOSPITAL
Active
Parent organization
MUNISING MEMORIAL HOSPITAL ASSOCIATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUNISING MEMORIAL HOSPITAL ASSOCIATION
Authorized official
MELISSA HALL (CEO)
(906) 387-4110
Entity
Organization
Contact information
Practice address
1500 SANDPOINT RD, MUNISING, MI 49862-1406
(906) 387-4110
(906) 387-2825
Mailing address
1500 SANDPOINT RD, MUNISING, MI 49862-1406
(906) 387-4338
(906) 387-2825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301050177
MI
207Q00000X
Family Medicine Physician
4301068824
MI
207Q00000X
Family Medicine Physician
4301076662
MI
207Q00000X
Family Medicine Physician
4301095227
MI
207Q00000X
Family Medicine Physician
4704294505
MI
207X00000X
Orthopaedic Surgery Physician
4301034044
MI
261QR1300X
Rural Health Clinic/Center
1060000115
MI
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043562762
MEDICAID RHC NPI
MI
01
—
23-8650
RHC CERTIFICATION NUMBER (CMS)
MI
Enumeration date
10/04/2012
Last updated
03/22/2024
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