Organization
MEMORIAL HOSPITAL
Active
Organization
MEMORIAL HOSPITAL
Active
Parent organization
THE MEMORIAL HOSPITAL
Other names
Memorial Healthcare, Memorial Healthcare Specialty Pharmacy NOW
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MEMORIAL HOSPITAL
Authorized official
JORRI M TREMAIN (CHIEF FINANCIAL OFFICER)
(989) 729-4466
Entity
Organization
Contact information
Practice address
819 N SHIAWASSEE ST STE 105, OWOSSO, MI 48867-1601
(989) 729-4781
(989) 729-4970
Mailing address
819 N SHIAWASSEE ST STE 105, OWOSSO, MI 48867-1601
(989) 729-4781
(989) 729-4970
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00058
INPATIENT/OUTPATIENT/PSYC
MI
05
—
1063414233
—
MI
05
—
1093198624
—
MI
01
—
5000009
PHP IN/OUTPATIENT
MI
01
—
M004774
CHAMPUS IN/OUTPATIENT
MI
Enumeration date
07/01/2015
Last updated
11/03/2025
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