Organization
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Active
Parent organization
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Other names
Charlevoix Area Hospital CRNA Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Authorized official
CHRISTINE WILHELM (CHIEF OPERATIONS OFFICER)
(231) 547-4024
Entity
Organization
Contact information
Practice address
14734 PARK AVE, CHARLEVOIX, MI 49720-1931
(231) 547-4024
(231) 547-8088
Mailing address
14700 LAKE SHORE DR, CHARLEVOIX, MI 49720-1931
(231) 547-4024
(231) 547-8088
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A51005
CRNA BCN PROFESSIONAL
MI
01
—
1001019
CRNA MCLAREN HEALTH PLAN
MI
01
—
134141100
CRNA COMP CARRIER US POST
MI
01
—
20139
CRNA PRIORITY HLTH PRO
MI
Enumeration date
10/27/2006
Last updated
03/17/2016
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