Organization
COMMUNITY MEMORIAL HOSPITAL
Active
Other names
Cheboygan Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN A ENO (BOARD)
(231) 627-7111
Entity
Organization
Contact information
Practice address
748 S MAIN ST, CHEBOYGAN, MI 49721-2220
(231) 627-5601
(231) 627-1471
Mailing address
PO BOX 419, CHEBOYGAN, MI 49721-0419
(231) 627-5601
(231) 627-1471
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
160020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00141
BLUE CROSS
MI
05
—
1557767
—
MI
05
—
5170424
—
MI
Enumeration date
06/16/2006
Last updated
09/15/2010
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