Organization
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Active
Other names
Otsego Memorial Hospital MedCare Rural Health Clinic, Munson Healthcare OMH Walk-In Clinic RHC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FRYE MD (PRES AMBULATORY & BUS DEVELOPMENT)
(704) 458-8010
Entity
Organization
Contact information
Practice address
1996 WALDEN DR, GAYLORD, MI 49735
(989) 731-4111
(989) 705-8511
Mailing address
825 N CENTER AVE, GAYLORD, MI 49735-1592
(989) 731-2100
(989) 731-7929
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
282NR1301X
Rural Acute Care Hospital
238606
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-8606
CMS CERTIFICATION NUMBER
—
Enumeration date
06/25/2007
Last updated
04/17/2026
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