Organization
MUNSON HEALTHCARE GRAYLING
Active
Parent organization
MUNSON HEALTHCARE
Other names
PRUDENVILLE COMMUNITY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUNSON HEALTHCARE
Authorized official
MICHAEL FRYE MD (PRES. AMBULATORY & BUS. DEVELOPMENT)
(704) 458-8010
Entity
Organization
Contact information
Practice address
2585 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9624
(989) 366-2900
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2349
(231) 935-5000
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030
BLUE CROSS
MI
05
—
238562
—
MI
Enumeration date
11/05/2014
Last updated
04/16/2026
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