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Organization

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

Active
Other names
Munson Healthcare OMH Medical Group-Gaylord RHC, Otsego Memorial Hospital Rural Health Clinic
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
829 N CENTER AVE, GAYLORD, MI 49735
(989) 731-7708
(989) 731-7929
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
238607
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23-8607
CMS CERTIFICATION NUMBER
Enumeration date
06/25/2007
Last updated
04/17/2026
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